IVELISSE LOPEZ

FORT WAYNE, IN
NPI1316913171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  01100291A)
Additional Taxonomies207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME82595)
Enumeration Date2006-02-23
Last Update Date2026-06-29
Business Address
Dr. IVELISSE LOPEZ M.D.
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5230
Mailing Address
Dr. IVELISSE LOPEZ M.D.
2880 S OSCEOLA AVE
ORLANDO, FL 32806-5431
Phone number: 407-843-0443