Organization
CECILIA G. LOPEZ, MD,PC
Active
Parent organization
CECILIA G. LOPEZ, MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CECILIA G. LOPEZ, MD PC
Authorized official
OSIE LUZ (OFFICE MANAGER)
(810) 744-3321
Entity
Organization
Contact information
Practice address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
(810) 744-2850
Mailing address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
(810) 744-2850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
CL046551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719565
—
MI
Enumeration date
05/08/2008
Last updated
05/08/2008
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