Individual
LILIANA ALEXIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
18 W WASHINGTON AVE, LOVINGTON, NM 88260-4023
(575) 739-2200
Mailing address
2102 W AVENUE J, LOVINGTON, NM 88260-3712
(575) 689-5676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-6250
STATE LICENSE
NM
Enumeration date
08/25/2017
Last updated
04/14/2022
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