Shane Lopez's National Provider Identifier (NPI) Details
Shane Lopez,
NPI: 1285133256
Enumeration Date: 2018-02-06
Last updated: 2019-03-11
Sole Proprietor: NO
Status: active
Postal Address: 115 KEATING DR, BELLE CHASSE, LA
Phone: 504-393-5750
Primary Practice Address: 115 KEATING DR, BELLE CHASSE, LA
Practice's phone: 504-393-5750