Individual
LUIS ANGEL LOPEZ MOCTEZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8611
(907) 966-8627
Mailing address
219 LANCE DR APT A, SITKA, AK 99835-9796
(907) 966-8611
(907) 966-8627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
04/17/2026
Last updated
04/20/2026
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