Individual
MICHAEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
771 OLD NORCROSS RD STE 110, LAWRENCEVILLE, GA 30046-4977
(404) 253-2593
(770) 488-9408
Mailing address
2970 BRANDYWINE RD # 125, ATLANTA, GA 30341-5528
(404) 253-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
98904
GA
2080P0202X
Pediatric Cardiology Physician
ME120671
FL
Other
Enumeration date
07/02/2012
Last updated
05/22/2024
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