Individual
MS. LISA MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T. MT010087
Contact information
Practice address
10113 UP RIVER RD APT 9103, CORPUS CHRISTI, TX 78410-2009
(361) 548-6670
Mailing address
10113 UP RIVER RD APT 9103, CORPUS CHRISTI, TX 78410-2009
(361) 548-6670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010087
TX
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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