Individual
LAURENCE LOPEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Mailing address
1515 5TH AVE N APT 424, NASHVILLE, TN 37208-2878
(719) 217-2212
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1924
TN
Other
Enumeration date
02/20/2020
Last updated
03/14/2024
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