Organization
LUPO PREVENTATIVE MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY R LUPO APRN (OWNER)
(402) 226-5211
Entity
Organization
Contact information
Practice address
10020 NICHOLAS STREET, SUITE 106, OMAHA, NE 68114-2188
(402) 226-5211
Mailing address
10020 NICHOLAS STREET, SUITE 106, OMAHA, NE 68114-2188
(402) 226-5211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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