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NPI Code Detail

MEDICARE: DR. LORENZO LOPEZ MD

MEDICARE:  DR. LORENZO  LOPEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA62591CA

Other Identifiers

General Provider Information

NPI Number : 1578566246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORENZO LOPEZ MD
Provider Business Mailing Address
First Line : 722 MEDICAL CENTER DR E STE 101
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6810
Country : US
Telephone Number : 559-297-9500
Fax Number : 559-297-9572
Provider Business Practice Location Address
First Line : 722 MEDICAL CENTER DR E STE 101
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6810
Country : US
Telephone Number : 559-297-9500
Fax Number : 559-297-9572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/08/2017

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Directions to “ DR. LORENZO LOPEZ MD” Practice Location

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