Most Relevant Information
Provider Data
| NPI Number: | 1003220377 |
| Provider Name: | ALICIA LOPEZ B.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2014 |
| Last Updated: | 06/16/2014 |
Provider Practice Location
548 PARK AVE STE B
WORCESTER
MA
016032537
Practice Location Phone/Fax
| Phone: | 7748231500 |
| Fax: |
Provider Mailing Location
48 WINDHAM ST
WORCESTER
MA
016102126
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |