Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SERGIO LOPEZ, LAC
Active Sole ProprietorSERGIO LOPEZ, LAC is a Counselor healthcare provider located in GREENWOOD LAKE, New York. NPI 1417622317 is currently active in the NPPES registry. Verify at CMS.
Counselor · GREENWOOD LAKE, NY
Registration Details
- NPI Number
- 1417622317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2021 (5.0094449701525 yrs)
- Last Updated
- Aug 12, 2021
- License
-
37AC00569600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 FOURTH RDGREENWOOD LAKE, NY, 109252510Browse NY providers · Browse ZIP 10925
- Phone
- 8455376908
- Primary Specialty
-
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.