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1871371799
LUCIDITY OF SAN ANTONIO PLLC
SAN ANTONIO, TX
NPI
1871371799
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Entity Type
Organization
Authorized Contact
DOMINGO LOPEZ
Owner/Managing Member
210-573-2736
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-09-20
Last Update Date
2023-10-11
Business Address
LUCIDITY OF SAN ANTONIO PLLC
8203 TESORO HLS
SAN ANTONIO, TX 78242-1414
Phone number: 210-400-1911
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Mailing Address
LUCIDITY OF SAN ANTONIO PLLC
8203 TESORO HLS
SAN ANTONIO, TX 78242-1414
Phone number: 210-400-1911
Copy
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