NPI 1063916401

Richard Lopez

Practitioner Peer Specialist Roxbury, MA

Practice location

Address: 245 Eustis St, Roxbury, MA 02119-2826
Phone: (617) 445-1123

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1063916401
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2018
Record last updated: 21 Mar 2018

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.