Steven Lopez
 
 
 OrthoSC . 210 Village Center Blvd., MYRTLE BEACH SC 29579-6706 
 Steven Lopez (id #93815, dob: 02/02/10) 
 Order Groups 
 Order Group Summaries 
 1. Cervical radiculitis 
 M54.12: Radiculopathy, cervical region 
 EPIDURAL STEROID INJECTION, CERVICAL (PROC) Order SUBMITTED (no result received) - Send To: PAIN-CF Note to 
 Provider: 62321, J0702 X 4, A4550 
 Location: C6-7 Midline 
 Date of surgery/procedure: 30/17/11 
 Place of service: OFFICE 
 Procedure Orders 
 Pre-Op Orders 
 06/18/08 
 From Provider 
 Place of Surgery 
 Pain-CF 
 PAIN-CF 
 210 Village Center Blvd Suite 150 
 MYRTLE BEACH, SC 29579-6706 
 210 VILLAGE CENTER BLVD SUITE 150 
 Phone: 843-353-3460 
 MYRTLE BEACH, SC 29579-6706 
 Fax: 843-353-3461 
 Phone: 843-353-3460 
 Ordering Provider: SCOTT SAUER, DO 
 Fax: 843-353-3461 
 Patient Information 
 Patient Name 
 Steven Lopez 
 Sex 
 F 
 DOB 
 02/02/10 
 Age 
 74yo 
