NPI 1184693277

Manuel Lopez, ATCCSCS

Practitioner Contractor Sarasota, FL

Practice location

Address: 6700 Clark Rd, Sarasota, FL 34241-9328
Phone: (815) 519-4448
Mailing address: 2725 N Elmwood Ave, Waukegan, IL 60087-3064

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1184693277
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2006
Record last updated: 13 Jul 2026

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.