SearchIdaho101YA0400X

Stacy Lopez, ADC, MSP

NPI 1467298430 · on the registry since 2024

Practice

Address
709 Dearborn St
Caldwell, ID 83605
Phone
(208) 376-7083
Fax
(208) 402-5604
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-08

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 Idaho