Individual
LINDSEY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
823 RED FERN DR, MIDDLETON, ID 83644-5851
(951) 282-0842
Mailing address
823 RED FERN DR, MIDDLETON, ID 83644-5851
(951) 282-0842
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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