Individual
DR. NICHOLAS M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6855 SPRING VALLEY DR, STE 120, HOLLAND, OH 43528-8039
(419) 865-3111
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 865-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35041209L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370665
—
OH
Enumeration date
07/08/2005
Last updated
12/13/2024
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