Individual
DR. G. MICHAEL LOPEZ
Active
Individual
DR. G. MICHAEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM81-77
NM
363LP2300X
Primary Care Nurse Practitioner
CNP-01651
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991
LOVELACE
NM
01
—
201006000
PRESBYTERIAN HEALTH PLAN
NM
01
—
50013
HMO OF NEW MEXICO
NM
05
—
NM00007070
—
NM
01
—
NM001568
BLUE CROSS BLUE SHIELD
NM
Enumeration date
01/03/2007
Last updated
03/05/2025
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