Individual
DAN ROLANDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-1086
Mailing address
PO BOX 100379, GAINESVILLE, FL 32610-0379
(352) 594-1942
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LL38150
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME150366
FL
Other
Enumeration date
06/10/2015
Last updated
06/04/2021
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