Lopez, Michelle A
Lopez, Michelle A is an individual health care provider with primary practice located at 2600 S Heritage Woods Dr , Appleton WI 54915-1408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lopez, Michelle A can be contacted via phone (920) 225-7875.Contact Information
Primary practice address
2600 S Heritage Woods Dr
Appleton WI 54915-1408
Phone: (920) 225-7875
Fax: (920) 993-5003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43331-020 | Wisconsin |
Profile Details
| NPI number | 1780618728 |
|---|---|
| LBN Legal business name | Lopez, Michelle A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 6th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780618728 | NPPES |
| Wisconsin | MEDICAID | 34120700 |
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