Individual
MARK LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 MARBLE AVE N.E, ALBUQUERQUE, NM 87106
(505) 272-5849
Mailing address
HEALTH SCIENCES CENTER, MSC09 5300,, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE,, ALBUQUERQUE, NM 87131
(505) 272-5849
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1804
NM
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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