Individual
CARMEN LISSETT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5555 PONCE DE LEON BLVD STE 128, CORAL GABLES, FL 33146-2513
(305) 284-9100
(305) 284-4098
Mailing address
5555 PONCE DE LEON BLVD STE 128, CORAL GABLES, FL 33146-2513
(305) 284-9100
(305) 284-4098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9292584
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9292584
FL
Other
Enumeration date
03/28/2016
Last updated
08/24/2020
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