Individual
MS. LISA MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2940
NM
251300000X
Local Education Agency (LEA)
2940
NM
Other
Enumeration date
08/17/2012
Last updated
10/21/2022
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