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Audrey Victoria Lopez

Specialist in Bartlesville, OK. Individual provider (NPI-1).

NPI number1235320102
StatusActive
Last updated in NPPESAug 6, 2007

Details

NPI
1235320102
Entity type
Individual (NPI-1)
Name
Audrey Victoria Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2007
Last updated
Aug 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

513 Se Quapaw Ave
Bartlesville, OK 74003

Phone 918-337-8080 · Fax 918-337-8099

Mailing address

114 W Delaware Ave
Nowata, OK 74048

Phone 918-273-1841 · Fax 918-273-1289

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