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Monica Lopez

NPI 1770031353 · on the registry since 2016 · sole proprietor

Practice

Address
310 Autumn Ridge Dr
Kosciusko, MS 39090
Phone
(601) 289-7074
Organisation at this address
Ms State Veterans Home Kosciusko
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-13

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 Mississippi