Ivy Lopez

NPI #1700358132 in Delavan, Wisconsin

Provider Information

NPI Number
1700358132
Entity Type
Individual
Name
Ivy Lopez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - General Practice
Enumeration Date
Dec 24, 2018
Last Updated
Dec 24, 2018

Practice Location

Address
905 E GENEVA ST
ZIP Code
53115-1922
Phone
(262) 728-6319

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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