Individual
CHRISTINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 HOSPOITAL DR., RATON, NM 87740-2012
(575) 445-3661
Mailing address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092652
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301092652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19925271
—
NM
Enumeration date
08/28/2008
Last updated
06/26/2020
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