Individual
DR. SEBASTIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS22194
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/24/2020
Last updated
08/28/2025
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