Individual
JOSHUA DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3479 BUCKHORN DR, STE 106, LEXINGTON, KY 40515
(859) 246-7282
(859) 273-2184
Mailing address
3125 ROUNDWAY DR LN, LEXINGTON, KY 40509
(859) 582-7591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T00000X
KY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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