Individual
DR. JEFFREY C LUPICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060-8713
(440) 352-1711
Mailing address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060-8713
(440) 352-1711
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003664
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36003664
OH
213ES0131X
Foot Surgery Podiatrist
36003664
OH
Other
Enumeration date
04/21/2010
Last updated
06/15/2021
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