Lopez, Tania

Lopez, Tania is an sole proprietor health care provider with primary practice located at 1906 N A St , Lake Worth FL 33460-6002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lopez, Tania can be contacted via phone (561) 541-1387.

Contact Information

Primary practice address
1906 N A St Lake Worth FL 33460-6002
Fax: (561) 540-5491
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1992919385
LBN Legal business name Lopez, Tania
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992919385 NPPES
Florida MEDICAID 222Q00000X

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