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General NPI Number Information
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NPI Number | 1881564912
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Entity Type | Individual
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Provider Name | LISA E LOPEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 39580 S LAGO DEL ORO PKWY
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City | TUCSON
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State | AZ
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Zip | 85739-1091
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Country | US
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Telephone | 520-955-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 4614 E HOLMES ST
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City | TUCSON
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State | AZ
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Zip | 85711-2952
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Country | US
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Telephone | 520-955-2404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-23333
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License Number State | AZ
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