Individual
LORENA CRYSTAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
840 W CHESTER RD, COVINA, CA 91722-3212
(626) 827-9742
Mailing address
840 W CHESTER RD, COVINA, CA 91722-3212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000057047
CA
Other
Enumeration date
11/06/2023
Last updated
06/11/2025
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