Most Relevant Information
Provider Data
| NPI Number: | 1003056813 |
| Provider Name: | LYDIA MILIXZA LOPEZ MA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2009 |
| Last Updated: | 03/06/2009 |
Provider Practice Location
13101 BRUCE B DOWNS BLVD
TAMPA
FL
336123803
Practice Location Phone/Fax
| Phone: | 8139740601 |
| Fax: | 8135581343 |
Provider Mailing Location
13101 BRUCE B DOWNS BLVD
TAMPA
FL
336123803
Provider Mailing Phone/Fax
| Phone: | 8139740601 |
| Fax: | 8135581343 |