NPI 1053151159

Brooke Lopez

Practitioner Student in an Organized Health Care Education/Training Program Moscow, ID

Practice location

Address: 875 Perimeter Dr, Moscow, ID 83844-9803
Phone: (208) 885-6111

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053151159
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2024
Record last updated: 28 May 2024

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.