Provider Demographics
NPI:1760447858
Name:LOPEZ-LINUS, MARCHI V (MD)
Entity Type:Individual
Prefix:
First Name:MARCHI
Middle Name:V
Last Name:LOPEZ-LINUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 SE CARY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6130
Mailing Address - Country:US
Mailing Address - Phone:919-859-9991
Mailing Address - Fax:
Practice Address - Street 1:940 SE CARY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6130
Practice Address - Country:US
Practice Address - Phone:919-859-9991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200724208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891314PMedicaid
NC891314PMedicaid