Glenda Lopez-Blaza Md, Llc

LBN: Glenda Lopez-Blaza Md, Llc
Glenda Lopez-Blaza Md, Llc is an health care organization with primary practice located at 8710 N Dixie Dr , Dayton OH 45414-2406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Glenda Lopez-Blaza Md, Llc can be contacted via phone (937) 415-0501, or through Lopez-Blaza, Glenda Joy via phone (937) 415-0501.

Contact Information

Primary practice address
8710 N Dixie Dr Dayton OH 45414-2406
Phone: (937) 415-0501
Fax: (937) 415-0520
Website:
Map and Directions
Authorized official contact:
Name: Lopez-Blaza, Glenda Joy Doctor of Medicine (MD)
Phone: (937) 415-0501

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1033162169
LBN Legal business name Glenda Lopez-Blaza Md, Llc
DBA Doing business as
Authorized official Lopez-Blaza, Glenda Joy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Jun 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033162169 NPPES
Ohio MEDICAID 0983002
Ohio MEDICAID 2988272

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