Alicia Lopez, B.S.

NPI #1003220377 in Worcester, Massachusetts

Provider Information

NPI Number: 1003220377
Entity Type: Individual
Name: Alicia Lopez, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.S.
Enumeration Date: Jun 16, 2014
Last Updated: Jun 16, 2014

Practice Location

Address: 548 PARK AVE STE B
City: Worcester
State: Massachusetts
ZIP Code: 01603-2537
Phone: (774) 823-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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