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Individual

DR. DANIEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8504
Mailing address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8504

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0661
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD001070
CA
Enumeration date
09/28/2006
Last updated
07/09/2007
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