Provider Demographics
NPI:1801167804
Name:LOPEZ HEALTH CENTER, LLC
Entity type:Organization
Organization Name:LOPEZ HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:GEOVANI
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-521-8869
Mailing Address - Street 1:7200 HEMLOCK LN N STE 101
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5587
Mailing Address - Country:US
Mailing Address - Phone:763-521-8869
Mailing Address - Fax:763-521-8860
Practice Address - Street 1:7200 HEMLOCK LN N STE 101
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5587
Practice Address - Country:US
Practice Address - Phone:763-521-8869
Practice Address - Fax:763-521-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty