Glen Martin Lopez, LPT
NPI #1942567946 in Glendora, California
Provider Information
- NPI Number
- 1942567946
- Entity Type
- Individual
- Name
- Glen Martin Lopez, LPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT
- Enumeration Date
- Apr 13, 2012
- Last Updated
- Apr 13, 2012
Practice Location
- Address
- 1160 S GRAND AVE
- City
- Glendora
- State
- California
- ZIP Code
- 91740-5000
- Phone
- (626) 335-5980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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