Individual
LORI NUTT-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 793-3900
(806) 793-3937
Mailing address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 793-3900
(806) 793-3937
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
25874
TX
Other
Enumeration date
04/01/2014
Last updated
04/16/2014
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