NPI Profile for Dr EDGAR A LOPEZ SUESCUM in LOUISVILLE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Community Health Worker |
172V00000X | |||
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Independent Medical Examiner |
202C00000X |
| NPI # | 1255837696 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/04/2018 | |
| Last updated | 04/04/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDGAR A LOPEZ SUESCUM
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