Individual
SHANNON MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, IBCLC
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 490-9427
Mailing address
11347 INDIAN CREEK RD, INDIANAPOLIS, IN 46236-2908
(317) 490-9427
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-144374
IN
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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