| Doctor Name: | ALFRED MICHAEL LOPEZ |
| NPI Number: | 1225329113 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CMT, CHC |
| License Number: | |
| Business Practice Address: | 1935 46th St Pennsauken, NJ - 081103031 |
| Business Phone Number: | 8569108472 |
| Business Fax Number: | 8889108472 |
| Mailing Address: | 1935 46th St, PENNSAUKEN |
| State: | NJ |
| Postal Code: | 081103031 |
| Phone Number: | 8569108472 |
| Fax Number: | 8889108472 |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |