Ivy Lopez

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

125083-30 Issued in WI

Practice address

905 E Geneva St
Delavan, WI 53115-1922

Phone

(262) 728-6319

NPI assigned

Dec 24, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1700358132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3831 DAHLIA DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E GENEVA ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151922",
            "telephone_number": "262-728-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "125083-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne-Marie Christine Laschen, O.D.
• Thomas Cameron Lee, RN
• Jeannie Lindskog, LPC
• Shandra Lock
• Jessica Gail Lois, PTA
• Elizabeth Anne Lucas, RN
• Michael Luckett, C.A.
• Julie R Lynch, DO
• Mari-Lyn Ellena Lynch, LPN
• David K Mahon, MD

• General Practice Registered Nurse in Delavan, WI
• Providers in Delavan, WI by specialty
• General Practice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.