Organization
J JULIAN LOPEZ INC
Active
Other names
CENTER FOR LIVER AND DIGESTIVE DISESEASE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J JULIAN LOPEZ M.D. (OWNER)
(702) 496-0991
Entity
Organization
Contact information
Practice address
7106 SMOKE RANCH RD STE 120, LAS VEGAS, NV 89128-8346
(702) 496-0991
(702) 877-6741
Mailing address
PO BOX 35679, LAS VEGAS, NV 89133-5679
(702) 496-0991
(702) 877-6741
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6073
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019037
—
NV
01
—
100010704
RR MEDICARE
NV
01
—
NV0397
BCBS ID
NV
Enumeration date
10/27/2006
Last updated
06/30/2011
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