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Individual
LEA LOPEZ-FAGIN
Active
Individual
LEA LOPEZ-FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
428422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142765002
—
TX
Enumeration date
08/24/2006
Last updated
06/04/2013
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