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Individual
DR. EDWARD JOSEPH LOPEZ
Active
Individual
DR. EDWARD JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000814
GA
213E00000X
Podiatrist
1541
TX
213E00000X
Podiatrist
246
AL
213E00000X
Podiatrist
E-3603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750439O
—
GA
01
—
202I501203
MEDICARE PTAN
GA
01
—
814
STATE ID
GA
Enumeration date
09/27/2006
Last updated
12/17/2021
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