Provider Demographics
NPI:1861455370
Name:LOPRESTI, MICHAEL ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:LOPRESTI
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 1:1 INFINITY CORPORATE CENTRE DR
Mailing Address - Street 2:STE 160
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2933
Mailing Address - Country:US
Mailing Address - Phone:216-581-5555
Mailing Address - Fax:216-518-2968
Practice Address - Street 1:1 INFINITY CORPORATE CENTRE DR
Practice Address - Street 2:STE 160
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2933
Practice Address - Country:US
Practice Address - Phone:216-581-5555
Practice Address - Fax:216-518-2968
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061625L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0886831Medicaid
OH0886831Medicaid
OHL00714841Medicare ID - Type Unspecified