Individual
ANA LAURA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1767 GINEBRA, EAGLE PASS, TX 78852-6552
(830) 335-7967
Mailing address
1767 GINEBRA, EAGLE PASS, TX 78852-6552
(830) 335-7967
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324868
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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