Individual
MR. ROMAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 E FLAMINGO RD, #100, LAS VEGAS, NV 89119-5249
(702) 369-4357
Mailing address
1640 E FLAMINGO RD, #100, LAS VEGAS, NV 89119-5249
(702) 369-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3558217
—
NV
Enumeration date
12/22/2011
Last updated
02/18/2014
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