Individual
MAYRA LUCIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1670 W RUTHRAUFF RD, TUCSON, AZ 85705-1253
(520) 616-6797
Mailing address
1670 W RUTHRAUFF RD, TUCSON, AZ 85705-1253
(520) 616-6797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10574
AZ
363LF0000X
Family Nurse Practitioner
AP129516
TX
Other
Enumeration date
10/29/2015
Last updated
10/13/2017
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