Individual
DR. THALIA J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
(316) 264-4734
Mailing address
PO BOX 667, WICHITA, KS 67201-0667
(316) 685-1206
(316) 688-5208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0427085
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314100D
—
KS
Enumeration date
06/17/2005
Last updated
01/04/2022
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