Individual
HENRY AGUSTIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 COLISEUM AVE, NASHUA, NH 03063-3292
(603) 882-9800
(603) 882-0556
Mailing address
380 D. W. HWY, MERRIMACK, NH 03054-4169
(603) 424-6500
(603) 423-9894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0544
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010494
—
NH
Enumeration date
06/16/2005
Last updated
07/08/2007
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