Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miguel Lopez

Individual provider Family Medicine Physician · NPI 1316471303

Miguel Lopez is a Family Practice in Monroe, Louisiana. Graduated from University of Louisville School of Medicine in 2019, 7 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Trained at
University of Louisville School of Medicine
Licensed in
LA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 330-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 338082 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 338082 (LA)

Record details

NPI number1316471303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2017
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address1512 W Kirby Pl, Shreveport, LA 71103-3822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe