Lillian R Lopez

NPI #1396413514 in Fountain Inn, South Carolina

Provider Information

NPI Number: 1396413514
Entity Type: Individual
Name: Lillian R Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 1, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 5 ROSEHILL PL
City: Fountain Inn
State: South Carolina
ZIP Code: 29644-1752
Phone: (646) 305-5405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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