Most Relevant Information
Provider Data
| NPI Number: | 1003057480 |
| Provider Name: | ELIZABETH LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2009 |
| Last Updated: | 03/16/2009 |
Provider Practice Location
218 N 8TH ST APT 32
SANTA PAULA
CA
930602144
Practice Location Phone/Fax
| Phone: | 8056419100 |
| Fax: |
Provider Mailing Location
218 N 8TH ST APT 32
SANTA PAULA
CA
930602144
Provider Mailing Phone/Fax
| Phone: | 8056419100 |
| Fax: |