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Individual
DR. JEFFREY PAUL LOPEZ
Active
Individual
DR. JEFFREY PAUL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
26283
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119009000
—
WV
05
—
0774729
—
OH
05
—
64262835
—
KY
Enumeration date
12/02/2005
Last updated
11/01/2011
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