Individual
ERICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HERRING AVE, WACO, TX 76708-3239
(254) 202-5631
(254) 202-5651
Mailing address
PO BOX 20487, WACO, TX 76702-0487
(254) 202-5631
(254) 202-5651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80410
TX
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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