Omar David Lopez is a student in an organized health care education training program in Marietta, GA. The provider is 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. Omar David Lopez NPI is 1164162889. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
677 CHURCH ST NE
MARIETTA, GA
ZIP 30060-101
Phone: (864) 305-8237
The NPI 1164162889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/30/2022 and was last updated on 3/30/2022.