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Individual
NICHOLAS LOPEZ
Active
Individual
NICHOLAS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD219244
OR
208000000X
Pediatrics Physician
ML60864368
WA
2080C0008X
Child Abuse Pediatrics Physician
MD219244
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2015
Last updated
07/15/2026
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