MRS. Lori Ann Mondragon-Lopez

NPI #1548514003 in Espanola, New Mexico

Provider Information

NPI Number: 1548514003
Entity Type: Individual
Name: MRS. Lori Ann Mondragon-Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Nov 6, 2012
Last Updated: Feb 22, 2013

Practice Location

Address: 1206 N RIVERSIDE DR
City: Espanola
State: New Mexico
ZIP Code: 87532-2811
Phone: (505) 747-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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