Individual
NICOLE LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 BOBBYS BRANCH RD, MILLSBORO, DE 19966-3756
(443) 226-9484
Mailing address
188 BOBBYS BRANCH RD, MILLSBORO, DE 19966-3756
(443) 226-9484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT0003993
DE
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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