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Individual

LUCRECIA CIDELIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C M T

Contact information

Practice address
5570 W 4TH AVE, LAKEWOOD, CO 80226-1918
(720) 329-4983
Mailing address
5570 W 4TH AVE, LAKEWOOD, CO 80226-1918
(720) 329-4983

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9576
CO

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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