MEDICARE: FRANK W. LOPEZ, MD, APMC

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
1	208100000X	Physical Medicine & Rehabilitation Physician	9855R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396888731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK W. LOPEZ, MD, APMC

Provider Business Mailing Address
First Line	:	3505 5TH AVE
Second Line	:	SUITE A-1
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-2156
Country	:	US
Telephone Number	:	337-436-7560
Fax Number	:	337-433-9861

Provider Business Practice Location Address
First Line	:	3505 5TH AVE
Second Line	:	SUITE A-1
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-2156
Country	:	US
Telephone Number	:	337-436-7560
Fax Number	:	337-433-9861

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANK WILLIAM LOPEZ
Credential	:	MD
Telephone Number	:	337-475-7598

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/06/2009

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