Dacey Lopez

NPI #1992362263 in Moorhead, Minnesota

Provider Information

NPI Number: 1992362263
Entity Type: Individual
Name: Dacey Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 22, 2019
Last Updated: May 22, 2019

Practice Location

Address: 891 BELSLY BLVD
City: Moorhead
State: Minnesota
ZIP Code: 56560-5055
Phone: (218) 287-4338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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