Individual
EZEKIEL ARTHUR LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2449 HOSPITAL DR, BOSSIER CITY, LA 71111-2399
(318) 841-4004
Mailing address
4531 CLINGMAN DR, SHREVEPORT, LA 71105-3211
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
338909
LA
363AM0700X
Medical Physician Assistant
Primary
338909
LA
Other
Enumeration date
09/21/2023
Last updated
06/09/2025
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