Individual
LILY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5107 E KELLOGG DRIVE, WICHITA, KS 67218
(316) 260-6934
Mailing address
5107 E KELLOGG DRIVE, WICHITA, KS 67218
(316) 260-6934
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
125632
KS
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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