Individual provider · Type 1 NPI

Jennifer Maria Lopez, MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1629998778 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6000 Map

Mailing address

11977 Randy Dr
St. Louis, MO 63141-6804

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1629998778

Jennifer Maria Lopez, MEDICAL STUDENT's National Provider Identifier is 1629998778, issued on Jul 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 20, 2026.