MEDICARE: DAVID ALLEN 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
1	207R00000X	Internal Medicine Physician	2021-02059	NC

General Provider Information

NPI Number	:	1942791751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALLEN LOPEZ MD

Provider Business Mailing Address
First Line	:	2310 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	984-209-3773
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	984-209-3773
Fax Number	:

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

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	03/12/2026

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Directions to “ DAVID ALLEN LOPEZ MD” Practice Location

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