NPI 1043374002

Carmen Lopez

Practitioner Contractor Tucson, AZ

Practice location

Address: 5319 S Midvale Ave, Tucson, AZ 85746-2243
Phone: (520) 578-9485
Fax: (520) 750-0056

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 5520 (AZ)

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Registry record

NPI: 1043374002
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.