Michael Lopez

NPI #1255815593 in Medford, New York

Provider Information

NPI Number: 1255815593
Entity Type: Individual
Name: Michael Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Enumeration Date: Sep 22, 2018
Last Updated: Sep 22, 2018

Practice Location

Address: 403 LAKE DR
City: Medford
State: New York
ZIP Code: 11763-4606
Phone: (718) 578-1375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Nutritionist	133N00000X	Primary

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Organizations

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