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Individual

LUCILLE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5100 MARNA LYNN AVE NW, PETROGLYPH ES, ALBUQUERQUE, NM 87114-5701
(505) 898-0923
Mailing address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 855-9936

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1507
NM
225X00000X
Occupational Therapist
Primary
1507
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K 8243
NM
Enumeration date
01/25/2007
Last updated
02/17/2026
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