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Contact Information

EDGAR A LOPEZ SUESCUM, MD
726 ZORN AVE APT 1
LOUISVILLE, KY40206-1447
 Phone: 502-891-8986
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for EDGAR A LOPEZ SUESCUM · (Male)

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
  • KY License # 18215
Hospital affiliation(s) Not Available
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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