Individual provider · NPI-1
Lissete Lopez, RN
Registered Nurse, Ambulatory Care · Livermore, CA
NPI number1205625332
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1205625332
- Entity type
- Individual (NPI-1)
- Name
- Lissete Lopez
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2025
- Certification date
- May 5, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP2201X | Registered Nurse, Ambulatory Care | 95381531 | CA | Yes |
| 163W00000X | Registered Nurse | 95381531 | CA | |
| 163WG0000X | Registered Nurse, General Practice | 95381531 | CA | |
| 163WW0000X | Registered Nurse, Wound Care | 95381531 | CA |
Practice location
4951 Arroyo Rd Bldg 62Livermore, CA 94550-9650
Phone 925-373-4700
Mailing address
4951 Arroyo Rd Bldg 62Livermore, CA 94550-9650
Phone 925-373-4700
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