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Individual
LISA ANNE CRUPI
Active
Individual
LISA ANNE CRUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
097007252N2
OR
363LP0200X
Pediatric Nurse Practitioner
097007252RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227920
—
OR
Enumeration date
07/31/2006
Last updated
07/10/2007
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