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Organization

THE MIRIAM LOPEZ FOUNDATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN JESUS LOPEZ C.R.S (C.E.O)
(610) 663-4700
Entity
Organization

Contact information

Practice address
1979 S DELAWARE ST, ALLENTOWN, PA 18103-8523
(267) 875-3911
Mailing address
1979 S DELAWARE ST, ALLENTOWN, PA 18103-8523
(267) 875-3911

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/21/2025
Last updated
10/21/2025
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