Individual
ROXANNE DIANE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
503 E PLAZA CIR DR, SUITE B, LITCHFIELD PARK, AZ 85340-4924
(623) 932-0637
(623) 932-0750
Mailing address
503 E PLAZA CIR DR, SUITE B, LITCHFIELD PARK, AZ 85340-4924
(623) 932-0637
(623) 932-0750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-10183
AZ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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