Organization
ERIE MEDICAL & REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A LUPO D.C. (PRESIDENT)
(814) 866-5559
Entity
Organization
Contact information
Practice address
3901 LIBERTY ST, ERIE, PA 16509-1689
(814) 866-5559
Mailing address
3901 LIBERTY ST, ERIE, PA 16509-1689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005039L
PA
207Q00000X
Family Medicine Physician
OS008755L
PA
208100000X
Physical Medicine & Rehabilitation Physician
OS008755L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
DC005039L
PA
Other
Enumeration date
07/01/2008
Last updated
07/21/2011
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