Individual provider · Type 1 NPI

Jorge Luis Lopez-Maldonado, LPN

Licensed Practical Nurse · Fort Gordon, GA

NPI number 1235305079 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN050471 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1235305079

Jorge Luis Lopez-Maldonado, LPN's National Provider Identifier is 1235305079, issued on May 1, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Gordon, GA. The record was last updated on May 1, 2008.