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Organization

LAUREN S. LOPEZ MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN S LOPEZ MD (PRESIDENT)
(414) 328-8798
Entity
Organization

Contact information

Practice address
10201 W LINCOLN AVE, SUITE 100, WEST ALLIS, WI 53227-2136
(414) 328-8798
Mailing address
10201 W LINCOLN AVE, SUITE 100, WEST ALLIS, WI 53227-2136
(414) 328-8798

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28257
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21256000
WI
Enumeration date
06/20/2006
Last updated
10/25/2007
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