Individual
KATHRYN RODRIGUEZ LUPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DEACONESS RD, BOSTON, MA 02215-5321
(617) 667-7000
Mailing address
1717 W 1ST STREET APT #5, WINSTON-SALEM, NC 27104
(305) 790-8299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
217967
NC
207P00000X
Emergency Medicine Physician
278498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110152041A
—
MA
Enumeration date
04/14/2016
Last updated
10/11/2024
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