Provider Demographics
NPI:1942499041
Name:LOPEZ LOPEZ, LINNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINNETTE
Middle Name:
Last Name:LOPEZ LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINNETTE
Other - Middle Name:
Other - Last Name:LOPEZ LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:721 NE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2623
Mailing Address - Country:US
Mailing Address - Phone:787-688-6327
Mailing Address - Fax:
Practice Address - Street 1:7630 N WICKHAM RD STE 104
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8257
Practice Address - Country:US
Practice Address - Phone:321-725-1600
Practice Address - Fax:833-603-0136
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME118971207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology