Individual
STEPHANIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W 17TH ST APT 5, SCOTTSBLUFF, NE 69361-2467
(303) 859-4741
Mailing address
111 W 17TH ST APT 5, SCOTTSBLUFF, NE 69361-2467
(303) 859-4741
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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