| Doctor Name: | MS. STEPHANIE ANTIONETTE JOY LOPEZ |
| NPI Number: | 1760716153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R185356 |
| Business Practice Address: | 1811 Woodlawn Dr. Gwynn Oak, MD - 212074043 |
| Business Phone Number: | 4108871332 |
| Business Fax Number: | 4108871386 |
| Mailing Address: | 11 N Eutaw St, Apt. 624 BALTIMORE |
| State: | MD |
| Postal Code: | 212011765 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2009 |
| NPI Last Update Date: | 10/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R185356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |