Ingrid Lopez

NPI #1962798512 in Hialeah Gardens, Florida

Provider Information

NPI Number: 1962798512
Entity Type: Individual
Name: Ingrid Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 8851 NW 119TH ST UNIT 4311
City: Hialeah Gardens
State: Florida
ZIP Code: 33018-7913
Phone: (786) 970-6323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

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