Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 258525 | NY |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DR.0057282 | CO |
NPI | 1366633851 |
---|---|
Provider Name | Dr. Daniel Lopez |
First Address | Lakewood, CO 80232-6357 |
Second Address | Lakewood, CO 80232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 20/11/2018 |