Individual
JEREMIAH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAB DIRECTOR
Contact information
Practice address
12029 GREENVEIL DR, EL PASO, TX 79936-0388
(915) 246-2139
Mailing address
12029 GREENVEIL DR, EL PASO, TX 79936-0388
(915) 246-2139
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2203712
TX
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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