Provider Demographics
NPI:1669233524
Name:BOADA LOPAWCZUK, CLAUDIA NATALIA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:NATALIA
Last Name:BOADA LOPAWCZUK
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 1:2319 WESTWIND AVE
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-7388
Mailing Address - Country:US
Mailing Address - Phone:786-556-6966
Mailing Address - Fax:
Practice Address - Street 1:1510 GREENLAWN BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7072
Practice Address - Country:US
Practice Address - Phone:512-334-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service