G Michael Lopez, M.d.

NPI #1912337353 in Las Vegas, New Mexico

Provider Information

NPI Number
1912337353
Entity Type
Organization
Organization Name
G Michael Lopez, M.d.
Subpart
Yes (part of a larger organization)
Parent Organization
G MICHAEL LOPEZ, M.D.
Primary Specialty
Nurse Practitioner
Enumeration Date
Nov 21, 2013
Last Updated
Nov 21, 2013

Practice Location

Address
105 MILLS AVE STE 300
ZIP Code
87701-4169
Phone
(505) 425-9311

Authorized Official

Name
DR. G MICHAEL LOPEZ, M.D.
Title
OWNER
Phone
(505) 425-9311

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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