Individual
BUDDY P LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7145 E VIRGINIA ST, SUITE 2000, EVANSVILLE, IN 47715-9124
(812) 476-6161
(812) 476-7117
Mailing address
7145 E VIRGINIA ST, SUITE 2000, EVANSVILLE, IN 47715-9124
(812) 476-6161
(812) 476-7117
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01602902A
IPLA
IN
Enumeration date
09/17/2006
Last updated
11/27/2007
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