SearchMarylandAthletic Trainer

Daniel Lopez, MS, LAT, ATC

NPI 1194718577 · on the registry since 2005 · sole proprietor

Practice

Address
2425 Old Court Rd
Baltimore, MD 21208
Phone
(410) 339-4179
Fax
(410) 339-7534
Organisation at this address
Evernorth Direct Health Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland