Individual
FRED LEWIS LOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2128 NW 27TH ST, OKLAHOMA CITY, OK 73107-2514
(405) 664-7430
Mailing address
2128 NW 27TH ST, OKLAHOMA CITY, OK 73107-2514
(405) 664-7430
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12420
OK
Other
Enumeration date
03/23/2007
Last updated
07/05/2016
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