Individual
RAQUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1420 S PILGRIM BLVD, YORKTOWN, IN 47396-9250
(765) 759-4068
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008295A
IN
Other
Enumeration date
09/18/2018
Last updated
03/08/2021
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