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Individual

MS. LUCIA A. LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
811 N CANAL ST, CARLSBAD, NM 88220-5107
(575) 628-0606
(575) 628-1872
Mailing address
811 N CANAL ST, CARLSBAD, NM 88220-5107
(575) 628-0606
(575) 628-1872

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
218
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17
LICENSED MASSAGE THERAPIST
NM
01
218
LICENSED MASSAGE THERAPIST
NM
Enumeration date
02/06/2010
Last updated
02/06/2010
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