Individual
AMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 921-3200
Mailing address
5967 E 72ND ST APT 2107, TULSA, OK 74136-7239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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