Individual
MS. CELESTE D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.077890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173455
—
OH
Enumeration date
04/26/2006
Last updated
12/05/2022
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