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Organization
LUPIN WOMENS HEALTH SERVICES, LLC
Active
Organization
LUPIN WOMENS HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS RALPH LUPIN MD (OWNER)
(504) 391-7678
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, SUITE 350, GRETNA, LA 70056-5255
(504) 391-7678
Mailing address
828 CHARTRES ST, NEW ORLEANS, LA 70116-3266
(504) 391-7678
(504) 391-7614
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L007673
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054003
—
LA
Enumeration date
01/28/2013
Last updated
01/28/2013
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