IndividualActive
Lasonya Roberts-Lopez, MD
NPI 1710976048 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Austell, GA
Provider details
- NPI number
- 1710976048
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 52818 (GA)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 52818 (GA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1700 Hospital South Dr
Suite 102
Austell, GA 30106-6810
Phone: (770) 792-6262
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Hospital South Dr
Austell, GA 30106-6810
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2019-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.