Individual
MRS. LAVON BUNNY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 G ST, MODESTO, CA 95354-1214
(209) 525-6060
(209) 525-6260
Mailing address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 525-6060
(209) 525-6260
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
05/22/2025
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