Individual
JULIE KIM LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
875 JOLIET ST, DYER, IN 46311-1920
(219) 440-7340
Mailing address
973 QUINN PL, DYER, IN 46311-2347
(773) 791-7320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014822A
IN
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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