Individual
DENISE LUCERO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1910 AVENIDA LAS CAMPANAS NW, LOS RANCHOS, NM 87107-3204
(505) 908-0717
Mailing address
1104 SALAMANCA ST NW, LOS RANCHOS, NM 87107-5626
(505) 908-0717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2695
NM
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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