Individual
MACEL LOPEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 N RACE ST, GLASGOW, KY 42141-3427
(270) 651-4865
Mailing address
5431 N ARLINGTON AVE, INDIANAPOLIS, IN 46226-1607
(217) 982-9234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME171189
FL
Other
Enumeration date
03/29/2021
Last updated
08/11/2025
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