Individual
MR. JOHN R. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2470 TWIN KNOLLS CIR, REISTERSTOWN, MD 21136-4429
(410) 239-6820
(410) 239-9989
Mailing address
2470 TWIN KNOLLS CIR, REISTERSTOWN, MD 21136-4429
(410) 239-6820
(410) 239-9989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2005
Last updated
01/02/2008
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