Basic Information
| Provider Information | |||||||||
| NPI: | 1619926565 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOPP | ||||||||
| FirstName: | LASZLO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 15004 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655229730 | ||||||||
| FaxNumber: | 8656372520 | ||||||||
| Practice Location | |||||||||
| Address1: | 2100 W CLINCH AVE | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379162219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655463111 | ||||||||
| FaxNumber: | 8655418629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2006 | ||||||||
| LastUpdateDate: | 02/04/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 44316 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0210X | MD0000044316 | TN | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 1510301 | 05 | TN | MEDICAID | 4217294 | 01 | TN | BCBS | OTHER | 576007863047 | 01 | SC | BLUE CHOICE OF SC | OTHER | 576007863094 | 01 | SC | BCBS OF SC | OTHER | 286023 | 05 | SC | MEDICAID |