Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MD460956 | PA |
Y | 208200000X | Surgeon | 35.134713 | OH |
Y | 208600000X | Surgeon | 35.134713 | OH |
NPI | 1043479785 |
---|---|
Provider Name | Dr. Stephen Adrian Lopez |
First Address | Akron, OH 44304-1423 |
Second Address | Canton, OH 44720-7616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 03/07/2019 |