Jasmine Lopez, OD

NPI #1063291201 in Rockford, Illinois

Provider Information

NPI Number: 1063291201
Entity Type: Individual
Name: Jasmine Lopez, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 6430 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2529
Phone: (815) 708-8561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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