Individual
DR. JEFFREY PAUL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 23RD ST, TRI-STATE REGIONAL CANCER CENTER, ASHLAND, KY 41101-2832
(606) 329-0060
(606) 325-9366
Mailing address
706 23RD ST, TRI-STATE REGIONAL CANCER CENTER, ASHLAND, KY 41101-2832
(606) 329-0060
(606) 325-9366
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
26283
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119009000
—
WV
05
—
0774729
—
OH
05
—
64262835
—
KY
Enumeration date
12/02/2005
Last updated
11/01/2011
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