Individual
MR. LUIS LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 AVENUE G, LUBBOCK, TX 79404-3344
(806) 787-2770
Mailing address
4502 AVENUE G, LUBBOCK, TX 79404-3344
(806) 787-2770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2833
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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