Individual
SARA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5041
Mailing address
451 E MARKET ST APT 434, INDIANAPOLIS, IN 46204-2697
(847) 915-9466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA218030
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/03/2021
Last updated
01/29/2024
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