| Doctor Name: | MRS. MARY M LOPEZ |
| NPI Number: | 1184796807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN68203PC |
| Business Practice Address: | 45 S Orleans Rd Orleans, MA - 02653 |
| Business Phone Number: | 5082554293 |
| Business Fax Number: | 5082558951 |
| Mailing Address: | Po Box 650, ORLEANS |
| State: | MA |
| Postal Code: | 02653 |
| Phone Number: | 5082554293 |
| Fax Number: | 5082558951 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN68203PC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |