NPI 1457610214 KEITH ALBERT LOPEZ LAC MISSOULA MT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Keith Albert Lopez - NPI: 1457610214

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KEITH ALBERT LOPEZ
NPI Number: 1457610214
Entity Type Code: Individual (1)
Gender: M
Credentials: LAC
License Number: 14111
Business Practice Address: 307 E Park Ave
Suite 207b Anaconda, MT - 597112320
Business Phone Number: 4065637197
Business Fax Number: 4065637685
Mailing Address: T9 Fort Missoula,
MISSOULA
State: MT
Postal Code: 598047298
Phone Number: 4065328400
Fax Number: 4065439316
NPI Enumeration Date: 05/14/2012
NPI Last Update Date: 05/14/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 14111
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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