Samantha Marie Lopez, is a
Licensed Practical Nurse based in Wynnewood, Oklahoma. Samantha Marie Lopez is licensed to practice in Oklahoma (license number 54225) and her current practice location is
116 E Robert S Kerr Blvd, Wynnewood, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 665-4351.
NPI number for Samantha Marie Lopez is 1700394582 and her current mailing address is 104 E Seminole St, Wynnewood, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700394582.
Provider's Profile
Full Name | Samantha Marie Lopez |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 116 E Robert S Kerr Blvd, Wynnewood, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700394582
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 01/16/2018
Medical Identifiers
Medical identifiers for Samantha Marie Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700394582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 54225 (Oklahoma) | 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. Samantha Marie 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 |
Samantha Marie Lopez, 104 E Seminole St, Wynnewood, OK 73098-6633 Ph: () - | Samantha Marie Lopez, 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 Ph: (405) 665-4351 |
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