Individual
GABRIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 FORESTVILLE RD, RALEIGH, NC 27616-8774
(919) 235-6550
(919) 235-6586
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679077796
—
NC
Enumeration date
03/22/2018
Last updated
12/22/2023
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