Individual
JOSUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7526 HAROLD ST, FORT LUPTON, CO 80621-4022
(720) 538-2903
Mailing address
7526 HAROLD ST, FORT LUPTON, CO 80621-4022
(720) 538-2903
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0003157
CO
Other
Enumeration date
02/07/2024
Last updated
02/15/2025
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