Individual
LUIS DANIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
16488 WILT RD, SISTERS, OR 97759-9688
(858) 243-5990
Mailing address
16488 WILT RD, SISTERS, OR 97759-9688
(858) 243-5990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC177747
OR
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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