Lilia Lopez de Varela, CCHW

Individual provider Active NPI Community Health Worker · Pecos, NM

NPI 1942036041 · NPPES record last updated Sep 13, 2024

Key facts

NPI
1942036041
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
199 Hwy 50
Pecos, NM 87552
Phone
(505) 757-6482
Fax
(505) 443-8304
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NM Yes

Addresses

Primary practice location

199 Hwy 50
Pecos, NM 87552

Mailing address

199 Hwy 50
Pecos, NM 87552
Phone (505) 757-6482

Other providers in Pecos, NM

All providers in Pecos, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.