Organization
JKL RESTORATIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LOPEZ DO (OWNER & PHYSICIAN)
(443) 974-6166
Entity
Organization
Contact information
Practice address
5652 E BASELINE RD, MESA, AZ 85206-4713
(480) 567-0350
Mailing address
8102 E CYPRESS ST, SCOTTSDALE, AZ 85257-2815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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