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Individual

FERNANDO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6436
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009934129
AL
05
009937156
AL
05
009979055
AL
05
009979915
AL
01
051000544
OSC - BCBS
AL
01
051000547
SPS - BCBS
AL
01
051533769
EBHS - BCBS
AL
01
051533770
TROY - BCBS
AL
Enumeration date
07/20/2006
Last updated
04/04/2013
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