Isis Karensha Lopez

NPI #1922424985 in Roseburg, Oregon

Provider Information

NPI Number: 1922424985
Entity Type: Individual
Name: Isis Karensha Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2014
Last Updated: Mar 13, 2014

Practice Location

Address: 1223 NE BARAGAR AVE
City: Roseburg
State: Oregon
ZIP Code: 97471-5621
Phone: (541) 236-5997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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