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Search › Wisconsin › 163WG0000X

Ivy Lopez

NPI 1700358132 · on the registry since 2018

Practice

Address
905 E Geneva St
Delavan, WI 53115
Phone
(262) 728-6319
Organisation at this address
Nsh Delavan Llc
Extendicare Homes, Inc.
Fmg East Geneva Street Wisconsin Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-24

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 Wisconsin