Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD473903 | PA |
NPI | 1013307495 |
---|---|
Provider Name | Sandra Marcela Lopez |
First Address | Pittsburgh, PA 15212 |
Second Address | Pittsburgh, PA 15212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2015 |
Last Update Date | 14/12/2021 |