Individual
DR. MARCELO ENRIQUE LOPEZ-CLAROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3019 FALSTAFF RD, RALEIGH, NC 27610-1812
(919) 250-7000
Mailing address
105 WHITTSHIRE CT, CARY, NC 27513-5581
(919) 817-9147
(919) 821-1434
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
33595
NC
2084P0800X
Psychiatry Physician
Primary
33595
NC
2084P0802X
Addiction Psychiatry Physician
33595
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52863
BCBS
NC
05
—
8952863
—
NC
Enumeration date
11/28/2006
Last updated
10/06/2021
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