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Organization
LIEU RUPP, M.D. INC.
Active
Organization
LIEU RUPP, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIEU RUPP M.D. (OWNER)
(951) 369-0138
Entity
Organization
Contact information
Practice address
4440 BROCKTON AVE STE 100, RIVERSIDE, CA 92501-4026
(951) 369-0138
(951) 369-1028
Mailing address
4440 BROCKTON AVE STE 100, RIVERSIDE, CA 92501-4026
(951) 369-0138
(951) 369-1028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G064515
CA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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