Individual
CLEA LYNN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 HOSPITAL DR STE 500, SANTA FE, NM 87505-4794
(505) 670-1976
(505) 983-7212
Mailing address
1650 HOSPITAL DR STE 500, SANTA FE, NM 87505-4794
(505) 670-1976
(505) 983-7212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2022-1054
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79273858
—
NM
Enumeration date
05/12/2009
Last updated
03/07/2025
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