DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIGUEL LOPEZ

Active Sole Proprietor

MIGUEL LOPEZ is a Sports Medicine healthcare provider located in MONROE, Louisiana. NPI 1316471303 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · MONROE, LA

Registration Details

NPI Number
1316471303
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2017 (9.2817701915177 yrs)
Last Updated
Oct 24, 2023
Licenses
338082 (LA)
338082 (LA)
Sole Proprietor
Yes

Practice Information

Address
4864 JACKSON ST
MONROE, LA, 712026400
Browse LA providers · Browse ZIP 71202
Phone
3183307000
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.