Susan O Lopez, CNP | |
1730 W 25th St, Cleveland, OH 44113-3108 | |
(216) 696-4300 | |
Not Available |
Full Name | Susan O Lopez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1730 W 25th St, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437125549 | NPI | - | NPPES |
2525422 | Medicaid | OH | |
P00205905 | Other | OH | RAILROAD MEDICARE |
000000353974 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP-07314 (Ohio) | Primary |
Entity Name | Lutheran Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962437947 PECOS PAC ID: 2466358387 Enrollment ID: O20031211000147 |
Mailing Address | Practice Location Address |
---|---|
Susan O Lopez, CNP Po Box 74216, Cleveland, OH 44194-0002 Ph: (440) 879-0081 | Susan O Lopez, CNP 1730 W 25th St, Cleveland, OH 44113-3108 Ph: (216) 696-4300 |
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Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200 | |
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Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521 | |
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