Individual
MS. JULIA S. LUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 305, LAWRENCEVILLE, GA 30046
(770) 339-4000
(770) 339-9037
Mailing address
771 OLD NORCROSS RD, SUITE 305, LAWRENCEVILLE, GA 30046
(770) 339-4000
(770) 339-9037
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN072457
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500030756
RAILROAD MEDICARE
GA
05
—
963939442A
—
GA
Enumeration date
05/04/2006
Last updated
11/18/2015
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