Individual
LORA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 566-0312
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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