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Individual

MR. ALFONSO LUPIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
13722 EMBASSY ROW, SAN ANTONIO, TX 78216-2000
(210) 349-5577
(210) 491-2868

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16545
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ21572Z
GROUP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
12/02/2005
Last updated
09/12/2016
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