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1912503160
LUCAS LEOS LOPEZ
CLEBURNE, TX
NPI
1912503160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1016727)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
LUCAS LEOS LOPEZ FNP-C
1208 W HENDERSON ST STE A
CLEBURNE, TX 76033-8773
Phone number: 682-317-1500
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Mailing Address
LUCAS LEOS LOPEZ FNP-C
2903 CACTUS DR
BIG SPRING, TX 79720-6316
Phone number: 432-816-2372
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