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1306134085
JEREMIAH LOPEZ
EAST LANSING, MI
NPI
1306134085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: MI 4301099387)
Enumeration Date
2011-07-15
Last Update Date
2021-06-07
Business Address
JEREMIAH LOPEZ MD
804 SERVICE RD STE A235
EAST LANSING, MI 48824-7015
Phone number: 517-355-1300
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Mailing Address
JEREMIAH LOPEZ MD
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone number: 517-355-1300
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