Healthcare Provider Details

I. General information

NPI: 1588239891
Provider Name (Legal Business Name): ARIANA CRISTINA LOPEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date: 11/07/2022
Reactivation Date: 11/18/2022

III. Provider practice location address

1901 TATE SPRINGS ROAD
LYNCHBURG VA
24501
US

IV. Provider business mailing address

1901 TATE SPRINGS ROAD
LYNCHBURG VA
24501
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-3000
  • Fax:
Mailing address:
  • Phone: 239-624-0035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number0101289728
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: