Individual
JENNIFER LEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
222 OLD CASITA RD, RIO GRANDE CITY, TX 78582-9335
(956) 639-3254
Mailing address
222 OLD CASITA RD, RIO GRANDE CITY, TX 78582-9335
(956) 639-3254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11382
TX
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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