Individual
LORI A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 876-3242
(520) 876-3646
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 876-3242
(520) 876-3646
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
SLPA7772
AZ
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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