Individual
MR. VICTOR LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
805 COOPER RD, SUITE 6, VOORHEES, NJ 08043-3814
(856) 751-8881
(856) 751-8810
Mailing address
805 COOPER RD, SUITE 6, VOORHEES, NJ 08043-3814
(856) 751-8881
(856) 751-8810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA56435
FL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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