Individual provider · Type 1 NPI

Shaneish Nugent Lopez, MD

Student in an Organized Health Care Education/Training Program · Idaho Falls, ID

NPI number 1912709718 Active

Practice location

Eastern Idaho Regional Medical Ctr, 3100 Channing Way
Idaho Falls, ID 83404

Call (208) 227-2850 Map

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 1912709718

Shaneish Nugent Lopez, MD's National Provider Identifier is 1912709718, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 25, 2025.