Individual
MRS. ANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3632 W 10TH ST, GREELEY, CO 80634-1851
(970) 506-9999
Mailing address
134 BELUGA DR, WINDSOR, CO 80550-3313
(323) 240-5974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0002949
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61988529
—
CO
01
—
OPT0002949
LICENSE
CO
Enumeration date
11/30/2006
Last updated
03/07/2023
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