DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IVAN D. LOPEZ M.D.

MEDICARE: IVAN D. LOPEZ M.D.
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
12084P0804XChild & Adolescent Psychiatry Physician24227WV
22084N0400XNeurology Physician24227WV
32084P0800XPsychiatry PhysicianME108228FL

General Provider Information

NPI Number : 1760470306
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVAN D. LOPEZ M.D.
Provider Business Mailing Address
First Line : 439 SW MICHIGAN ST
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-0440
Country : US
Telephone Number : 386-487-0800
Fax Number :
Provider Business Practice Location Address
First Line : 4300 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-4006
Country : US
Telephone Number : 352-374-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 07/29/2015

Similar Medicare Providers

1407703424 — TAYLOR NICOLE WILLIAMS RN
Practice Location Address:
4300 SW 13TH ST # 27
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax:
1689660441 — DR. JODY LANE BROWN M.D.
Practice Location Address:
4300 SW 13TH ST
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax:
1699734400 — YVONNE ROSARIO
Practice Location Address:
4300 SW 13TH ST
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax: 352-374-5608
1184674848 — STEPHEN A. STRAUBING MD.
Practice Location Address:
4300 SW 13TH ST
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax:
1285676122 — JOHN H. ABERNETHY MD
Practice Location Address:
4300 SW 13TH ST
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax: 352-374-5608
1083650261 — DR. MATHEW L NGUYEN MD
Practice Location Address:
4300 SW 13TH ST
GAINESVILLE, FL
32608-4006
Practice Phone: 352-374-5600
Practice Fax: 352-244-0295

Directions to “ IVAN D. LOPEZ M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.