Individual
AUDREY VICTORIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 SE QUAPAW AVE, BARTLESVILLE, OK 74003
(918) 337-8080
(918) 337-8099
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048
(918) 273-1841
(918) 273-1289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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