Individual
LUCAS EMILIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMSC, CGC
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 785-1112
Mailing address
3013 OAK PARK CIR NE, ATLANTA, GA 30324-5289
(512) 318-5760
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
04/03/2024
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