Provider Demographics
NPI:1871792564
Name:LOPEZ, FRANKLIN GEOVANI (DC)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:GEOVANI
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 FORESTVIEW LN N STE LOWR
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5657
Mailing Address - Country:US
Mailing Address - Phone:763-521-8869
Mailing Address - Fax:763-521-8860
Practice Address - Street 1:7201 FORESTVIEW LN N STE LOWR
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5657
Practice Address - Country:US
Practice Address - Phone:763-521-8869
Practice Address - Fax:763-521-8860
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor