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Individual

ANTHONY JAY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1140 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 868-1100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42028
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100045900
KY
Enumeration date
01/08/2007
Last updated
09/12/2013
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