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Lisa Marie Lopez

Case Manager/Care Coordinator in Modesto, CA. Individual provider (NPI-1).

NPI number1902345895
StatusActive
Last updated in NPPESFeb 13, 2017

Details

NPI
1902345895
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Marie Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Feb 13, 2017
Last updated
Feb 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Phone 209-525-7339 · Fax 209-558-4321

Mailing address

800 Scenic Dr
Modesto, CA 95350-6131

Phone 209-525-7339 · Fax 209-558-4321

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