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Individual

LIDIANA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
(859) 254-2075

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/20/2018
Last updated
07/20/2018
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