Individual
OLGA M LUEPSCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2 RYANT BLVD, SEBRING, FL 33870-8075
(863) 314-9255
(863) 314-0055
Mailing address
2 RYANT BLVD, SEBRING, FL 33870-8075
(863) 314-9255
(863) 314-0055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043678136
CORPORATE TAX ID
—
05
—
390181500
—
FL
01
—
480034505
MEDICARE RAILROAD
—
01
—
65339
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/04/2007
Last updated
07/14/2009
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