Individual provider · Type 1 NPI
Olivia Izabel Gordon Lopes
Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA
NPI number
1487376158
Active
Practice location
20 Oakview Ter Apt 1
Jamaica Plain, MA 02130-5193
Other practice locations
- 12 Southern Ave, Dorchester, MA 02124-2012 · (617) 708-0870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1487376158
Olivia Izabel Gordon Lopes's National Provider Identifier is 1487376158, issued on Sep 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Sep 19, 2022.