Provider Demographics
NPI:1427769389
Name:LOPEZ STEWART, FRANCINE ELAINE (LPN)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:ELAINE
Last Name:LOPEZ STEWART
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26340 BERG RD APT 404
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-8602
Mailing Address - Country:US
Mailing Address - Phone:702-219-2485
Mailing Address - Fax:
Practice Address - Street 1:26340 BERG RD APT 404
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-8602
Practice Address - Country:US
Practice Address - Phone:702-219-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703126407164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse