Ivyrose Marie Lopez, CPM

NPI #1902475775 in Burlington, Vermont

Provider Information

NPI Number: 1902475775
Entity Type: Individual
Name: Ivyrose Marie Lopez, CPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: CPM
Enumeration Date: Jun 24, 2021
Last Updated: Jun 24, 2021

Practice Location

Address: 56 CONGER AVE
City: Burlington
State: Vermont
ZIP Code: 05401-5234
Phone: (802) 310-8719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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