Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053151159

Brooke Lopez is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053151159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address875 Perimeter Dr, Moscow, ID 83844-9803

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