Provider Demographics
NPI:1578512026
Name:LOPEZ, SYLVIA (MD)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 NW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-6816
Mailing Address - Country:US
Mailing Address - Phone:405-521-9798
Mailing Address - Fax:
Practice Address - Street 1:900 N PORTER AVE
Practice Address - Street 2:SUITE 208A
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6424
Practice Address - Country:US
Practice Address - Phone:405-579-1444
Practice Address - Fax:405-579-1448
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK162722080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine