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Individual

MR. IAN MICHAEL LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NBC-HWC

Contact information

Practice address
11592 WEEPING WILLOW CT, ZIONSVILLE, IN 46077-7839
(630) 853-0304
Mailing address
3250A W 86TH ST # 1128, INDIANAPOLIS, IN 46268-3605

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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