Individual provider · Type 1 NPI

Mildred Rodriguez Lopez, BSN, RN, IBCLC

Community Health Registered Nurse · Fort Drum, NY

NPI number 1962735605 Active

Practice location

11050 Mount Belvedere Blvd, Usa Meddac/credentials
Fort Drum, NY 13602-5438

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X478635-1 (NY)

Community Health Registered Nurse: Definition to come...

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About NPI 1962735605

Mildred Rodriguez Lopez, BSN, RN, IBCLC's National Provider Identifier is 1962735605, issued on Sep 14, 2009. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fort Drum, NY. The record was last updated on Sep 14, 2009.