Organization
SANTA ANA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONORA J LOPEZ MD (OWNER)
(505) 954-4422
Entity
Organization
Contact information
Practice address
683 HARKLE RD STE B, SANTA FE, NM 87505-4750
(505) 954-4422
(505) 954-4433
Mailing address
683 HARKLE RD STE B, SANTA FE, NM 87505-4750
(505) 954-4422
(505) 954-4433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CS00008623
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32466
—
NM
Enumeration date
01/12/2007
Last updated
08/22/2020
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