Provider Information for 1851042329
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Mr. TOMMY FRIANK LOPEZ LMFT
Sex: Male
NPI: 1851042329
Last Updated: 2022-01-15
Certification Date: 2022-01-15
Certification Date: 2022-01-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851042329 | ||||||||
| Enumeration Date | 2022-01-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 202 N STEWART ST MONROE, NC 28112-4767 United States Phone: 704-282-5006 | Fax: | ||||||||
| Primary Practice Address | 202 N STEWART ST MONROE, NC 28112-4767 United States Phone: 704-282-5006 | Fax: | ||||||||
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