Individual
JOSE EFRAIN LOPEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 SW 19TH ST, LINCOLN, NE 68522-2301
(402) 975-9583
Mailing address
7562 UPTON GREY LN, LINCOLN, NE 68516-5694
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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