Individual
DR. MELISSA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
18275 KENRICK AVE, LAKEVILLE, MN 55044-7306
(952) 892-0028
Mailing address
1078 CHEROKEE AVE, WEST ST PAUL, MN 55118-1101
(651) 604-7025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3590
MN
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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