Roberts-Lopez, Lasonya

Roberts-Lopez, Lasonya is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 102, Austell GA 30106-6810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Roberts-Lopez, Lasonya can be contacted via phone (770) 792-6262.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 102 Austell GA 30106-6810
Phone: (770) 792-6262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 52818 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 052818 Georgia

Profile Details

NPI number 1710976048
LBN Legal business name Roberts-Lopez, Lasonya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Oct 14th, 2019 - about 7 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 1710976048 NPPES
Georgia MEDICAID 498562470B

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