Individual
DR. MICHELLE CASUGA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 ARCADIAN AVE, WAUKESHA, WI 53186-5002
(262) 542-3676
Mailing address
100 ARCADIAN AVE, WAUKESHA, WI 53186-5002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4013-35
WI
Other
Enumeration date
06/29/2024
Last updated
07/01/2024
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