# EMIGDIO A. LOPEZ, JR, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184816118
- **Authorized official:** DR. EMIGDIO A. LOPEZ M.D. (PRESIDENT)
- **Authorized official phone:** (703) 451-3245

## Contact information

- **Practice address:** 8346 TRAFORD LN, SPRINGFIELD, VA 22152
- **Practice address phone:** (703) 451-3245
- **Mailing address:** 6006 ROLLING RD, SUITE \#216, SPRINGFIELD, VA 22152
- **Mailing address phone:** (703) 451-3245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101-031554 | VA | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 08/14/2007
