Most Relevant Information
Provider Data
| NPI Number: | 1003382946 |
| Provider Name: | LINA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 332991 |
Most Important Dates
| Enumeration Date: | 10/18/2018 |
| Last Updated: | 10/18/2018 |
Provider Practice Location
1915 RANGER DR
GLENN HEIGHTS
TX
751548817
Practice Location Phone/Fax
| Phone: | 2146465484 |
| Fax: |
Provider Mailing Location
1915 RANGER DR
GLENN HEIGHTS
TX
751548817
Provider Mailing Phone/Fax
| Phone: | 2146465484 |
| Fax: |