Individual
MICHAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107
(215) 316-5151
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD490998
PA
Other
Enumeration date
06/26/2021
Last updated
09/04/2025
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