Individual
MR. RONALD LYNN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
1619 NW HAWTHORNE, SUITE 109, GRANTS PASS, OR 97526
(541) 472-1799
(541) 472-1699
Mailing address
1619 NW HAWTHRONE, SUITE 109, GRANTS PASS, OR 97526
(541) 472-1799
(541) 472-1699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4012
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230780
—
OR
Enumeration date
10/20/2006
Last updated
07/21/2022
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