# LUCIDITY OF SAN ANTONIO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871371799
- **Authorized official:** DOMINGO LOPEZ JR. NP (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (210) 573-2736

## Contact information

- **Practice address:** 8203 TESORO HLS, SAN ANTONIO, TX 78242-1414
- **Practice address phone:** (210) 400-1911
- **Mailing address:** 8203 TESORO HLS, SAN ANTONIO, TX 78242-1414
- **Mailing address phone:** (210) 400-1911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 10/11/2023