MEDICARE: ALFREDO LOPEZ FIGUEROA D.O.

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	207Q00000X	Family Medicine Physician	34008648	OH

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	:	1457333221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO LOPEZ FIGUEROA D.O.

Provider Business Mailing Address
First Line	:	4072 GANTZ RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-4816
Country	:	US
Telephone Number	:	614-875-0011
Fax Number	:	614-539-7287

Provider Business Practice Location Address
First Line	:	4072 GANTZ RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-4816
Country	:	US
Telephone Number	:	614-875-0011
Fax Number	:	614-539-7287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	11/17/2025

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Directions to “ ALFREDO LOPEZ FIGUEROA D.O.” Practice Location

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