Individual
BLAINE CHRISTOPHER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041505
AZ
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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