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Individual

ISAMAR LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 HYPOLUXO RD STE 103, LANTANA, FL 33462-4271
(561) 616-8411
Mailing address
8930 SANDSHOT CT, PORT ST LUCIE, FL 34986-3312
(787) 547-1797

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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