IndividualActive
Miguel Lopez
NPI 1316471303 · Sports Medicine (Family Medicine) Physician · Monroe, LA
Provider details
- NPI number
- 1316471303
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 338082 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 330-7000
Approximate (ZIP-level) locationGet directions
Mailing address
1512 W Kirby Pl
Shreveport, LA 71103-3822
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.