Individual
LAURA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 PECAN SPGS, APT#10304, SAN ANTONIO, TX 78249-5300
(210) 478-1195
Mailing address
5511 PECAN SPGS, APT#10304, SAN ANTONIO, TX 78249-5300
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
148819
TX
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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