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Individual
MIGUEL LOPEZ
Active
Individual
MIGUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
338082
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
338082
LA
Other
Enumeration date
04/17/2017
Last updated
10/24/2023
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