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Contact Information

MIGUEL LOPEZ
4864 JACKSON ST
MONROE, LA71202-6400
 Phone: 318-330-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MIGUEL LOPEZ · (Male)

NPI Number 1316471303
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2017
Last updated 10/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 338082
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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