Individual
LINA M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
74 PASCACK RD, SUITE 2, PARK RIDGE, NJ 07656-1935
(201) 930-0900
(201) 391-7733
Mailing address
74 PASCACK RD, SUITE 2, PARK RIDGE, NJ 07656-1935
(201) 930-0900
(201) 391-7733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08334500
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA08334500
NJ
Other
Enumeration date
09/25/2006
Last updated
06/15/2011
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