Lopez, Thalia J

Lopez, Thalia J is an individual health care provider with primary practice located at 527 N Grove St , Wichita KS 67214-4520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lopez, Thalia J can be contacted via phone (316) 262-2415.

Contact Information

Primary practice address
527 N Grove St Wichita KS 67214-4520
Phone: (316) 262-2415
Fax: (316) 264-4734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0427085 Kansas

Profile Details

NPI number 1073518825
LBN Legal business name Lopez, Thalia J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 4th, 2022 - about 4 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 1073518825 NPPES
Kansas MEDICAID 100314100D

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