person
Omar David Lopez
Student in an Organized Health Care Education/Training Program in Marietta, Georgia
NPI 1164162889

Omar David Lopez is a Student in an Organized Health Care Education/Training Program based in Marietta, GA. Omar David Lopez practices in Marietta, GA. The NPI Number for Omar David Lopez is 1164162889 and holds a License No. (Georgia).

The current practice location address for Omar David Lopez is 677 Church St Ne, Marietta, GA and can be reached out via phone at 864-305-8237.

Location: 677 Church St Ne, Marietta, GA, 30060-1101
person
Provider Profile Details
NPI Number
1164162889
Provider Name
Omar David Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
677 Church St Ne, Marietta, GA, 30060-1101
Phone Number
864-305-8237
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
864-305-8237
Fax Number
person
Provider Business Mailing Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
864-305-8237
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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