Individual
LINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 RANGER DR, GLENN HEIGHTS, TX 75154-8817
(214) 646-5484
Mailing address
1915 RANGER DR, GLENN HEIGHTS, TX 75154-8817
(214) 646-5484
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332991
TX
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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