Individual provider · Type 1 NPI
Edgar A. Lopez-Suescum, MD
Plastic and Reconstructive Surgery Physician · Louisville, KY
NPI number
1255837696
Active
Practice location
726 Zorn Ave Apt 1
Louisville, KY 40206-1447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Independent Medical Examiner Physician | 202C00000X | 18215 (KY) |
| General Practice Physician | 208D00000X | 18215 (KY) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 18215 (KY) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1255837696
Edgar A. Lopez-Suescum, MD's National Provider Identifier is 1255837696, issued on Apr 4, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Louisville, KY. The record was last updated on Apr 4, 2018.