Dr. G. Michael Lopez, M.D.
Internal Medicine in Las Vegas, NM. Individual provider (NPI-1).
NPI number1003973397
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1003973397
- Entity type
- Individual (NPI-1)
- Name
- Dr. G. Michael Lopez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | NM81-77 | NM | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | CNP-01651 | NM |
Practice location
105 Mills Ave Ste 300Las Vegas, NM 87701-4169
Phone 505-425-9311 · Fax 505-425-9047
Mailing address
105 Mills Ave Ste 300Las Vegas, NM 87701-4169
Phone 505-425-9311 · Fax 505-425-9047
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