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Contact Information

G MICHAEL LOPEZ, M.D.
105 MILLS AVE STE 300
LAS VEGAS, NM87701-4169
 Phone: 505-425-9311
 Fax: 505-425-9047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for G MICHAEL LOPEZ, M.D.

NPI # 1912337353
LBN Legal business name G MICHAEL LOPEZ, M.D.
Authorized official G LOPEZ - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/21/2013
Last updated 11/21/2013 - About 13 years ago
Identifiers
NM License # CNP00739
NM Other 1568 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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