Individual
JOSEPH LOPEZ LIZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6001 W PARK VIEW LN, GLENDALE, AZ 85310-2776
(602) 469-1082
Mailing address
6001 W PARK VIEW LN, GLENDALE, AZ 85310-2776
(602) 469-1082
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
227688
AZ
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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