Lopez, Leonardo E

Lopez, Leonardo E is an individual health care provider with primary practice located at 203 Hospital Dr , Raton NM 87740-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lopez, Leonardo E can be contacted via phone (575) 303-3692.

Contact Information

Primary practice address
203 Hospital Dr Raton NM 87740-2012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2013-0182 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2013-0182 New Mexico

Profile Details

NPI number 1831347251
LBN Legal business name Lopez, Leonardo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831347251 NPPES
New Mexico MEDICAID 82527369

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