Individual
LUCIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-3461
(503) 307-2038
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-3461
(503) 307-2038
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
86084
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
10/31/2020
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