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Contact Information

ILEANA LOPEZ PLAZA, MD
750 WASHINGTON ST #826
BOSTON, MA02111
 Phone: 617-636-5842
 Fax: 617-636-3175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ILEANA LOPEZ PLAZA · (Female)

NPI # 1396727715
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2005
Last updated 07/31/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 221290
  • MA Medicaid 2075431
  • MA Other A37261 MEDICARE LO
Hospital affiliation(s)
  • ALLEGIANCE HEALTH - (Acute Care)
    205 N EAST AVE
    JACKSON, MI 49201
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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