Provider Demographics
NPI:1992126866
Name:LOPEZ-FLOWERS, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LOPEZ-FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13400 NE 20TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2026
Mailing Address - Country:US
Mailing Address - Phone:425-451-7710
Mailing Address - Fax:
Practice Address - Street 1:13400 NE 20TH ST STE 4
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2026
Practice Address - Country:US
Practice Address - Phone:425-451-7710
Practice Address - Fax:425-451-7179
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60397093225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist