Individual
DAVID LEON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 S 17TH ST STE 2900, PHILADELPHIA, PA 19103-6201
(203) 869-5509
(203) 869-5504
Mailing address
50 S 16TH ST UNIT 4310, PHILADELPHIA, PA 19102-2533
(203) 869-5509
(203) 869-5504
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
037088
CT
2084P0804X
Child & Adolescent Psychiatry Physician
215845
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
478457
PA
Other
Enumeration date
01/22/2007
Last updated
01/22/2024
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