Sergio Lopez, LAC is a
Counselor based in Greenwood Lake, New York. Sergio Lopez is licensed to practice in New Jersey (license number 37AC00569600) and his current practice location is
30 Fourth Rd, Greenwood Lake, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 537-6908.
NPI number for Sergio Lopez is 1417622317 and his current mailing address is Po Box 464, Greenwood Lake, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417622317.
Healthcare Provider's Profile
Full Name | Sergio Lopez |
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Gender | Male |
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Speciality | Counselor |
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Location | 30 Fourth Rd, Greenwood Lake, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417622317
- Provider Enumeration Date: 08/12/2021
- Last Update Date: 08/12/2021
Medical Identifiers
Medical identifiers for Sergio Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417622317 | NPI | - | NPPES |
37AC00569600 | Other | | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 37AC00569600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sergio Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sergio Lopez, LAC Po Box 464, Greenwood Lake, NY 10925-0464 Ph: (845) 537-6908 | Sergio Lopez, LAC 30 Fourth Rd, Greenwood Lake, NY 10925-2510 Ph: (845) 537-6908 |
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