Individual
MRS. JUDITH ANN LUPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0015841
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0015841
LPN LICENSE
OK
Enumeration date
09/16/2006
Last updated
07/08/2007
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