Alexandra Isabelle Lopez

NPI #1912517087 in Redford, Michigan

Provider Information

NPI Number: 1912517087
Entity Type: Individual
Name: Alexandra Isabelle Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 9329 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 937-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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