Individual
CARSON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S SAN FRANCISCO ST, FLAGSTAFF, AZ 86011-9206
(817) 879-3923
Mailing address
1651 N GEMINI DR APT 22, FLAGSTAFF, AZ 86001-1609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100214
AZ
Other
Enumeration date
08/15/2022
Last updated
07/23/2025
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