Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellory Micaela Wolin Lopez, MS, LCGC

Individual provider Genetic Counselor (M.S.) · NPI 1598458275

Ellory Micaela Wolin Lopez, MS, LCGC is a Genetic Counselor (M.S.) in Minneapolis, Minnesota. Practices as a sole proprietor and works from 4 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 303 E Nicollet Blvd Ste 363, Burnsville, MN 55337-4594 — (952) 892-2270
  • 6545 France Ave S Ste 250, Edina, MN 55435-2118 — (952) 924-5250
  • 1655 Beam Ave Ste 302, Maplewood, MN 55109-1477 — (651) 326-7199

Specialties & licences

Genetic Counselor (M.S.) (primary) Taxonomy 170300000X

Record details

NPI number1598458275
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCGC
Sole proprietorYes
NPI enumeratedMay 30, 2023
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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