NPI 1003220377

Alicia Lopez, BS

Practitioner Specialist Worcester, MA

Practice location

Address: 548 Park Ave STE B, Worcester, MA 01603-2537
Phone: (774) 823-1500
Mailing address: 48 Windham St, Worcester, MA 01610-2126

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Massachusetts →

Registry record

NPI: 1003220377
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2014
Record last updated: 16 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.