Individual
GEORGE LUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 S WHITCOMB AVE, TONASKET, WA 98855-9287
(509) 486-2151
(509) 223-1743
Mailing address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-3191
(509) 223-1743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60852965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2339958
—
WA
Enumeration date
04/16/2015
Last updated
09/05/2025
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