LIDICE LOPEZ

MIAMI, FL
NPI1629231980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9104530)
Enumeration Date2008-07-08
Last Update Date2009-09-11
Business Address
-- LIDICE LOPEZ PA
1400 NW 12TH AVE SUITE 104
MIAMI, FL 33136-1003
Phone number: 305-545-6685
Mailing Address
-- LIDICE LOPEZ PA
261 W 32ND ST
HIALEAH, FL 33012-5317
Phone number: 305-528-0447
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