Individual
EMILIO ENRIQUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7556 LAKE WORTH RD STE 103, LAKE WORTH, FL 33467-2503
(561) 894-1370
(561) 894-1372
Mailing address
7556 LAKE WORTH RD STE 103, LAKE WORTH, FL 33467-2503
(561) 894-1370
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME129118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104439200
—
FL
Enumeration date
03/30/2010
Last updated
04/10/2024
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