Organization
LOPEZ FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LOPEZ DNP (OWNER)
(308) 279-1997
Entity
Organization
Contact information
Practice address
HWY 264 & JUNCION 191, SAGE APARTMENTS #116, GANADO, AZ 86505-1483
(308) 279-1997
Mailing address
PO BOX 1483, GANADO, AZ 86505-1483
(308) 279-1997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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