Individual
MS. ALEXIS LAUREN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RD
Contact information
Practice address
428 HARRISON AVE # 101, CLAREMONT, CA 91711-4605
(909) 624-7070
Mailing address
25 RANCHO LAGUNA DR, POMONA, CA 91766-4724
(909) 573-3542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86073501
CA
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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