Provider Demographics
NPI:1457995581
Name:LOPEZ, ARLEEN
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 DEVONWOOD DR APT 101
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-1710
Mailing Address - Country:US
Mailing Address - Phone:559-301-9169
Mailing Address - Fax:
Practice Address - Street 1:1209 DEVONWOOD DR APT 101
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-1710
Practice Address - Country:US
Practice Address - Phone:559-301-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator