Individual
TODD CLAYTON LUPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940
(717) 960-1695
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003076L
PA
Other
Enumeration date
03/24/2006
Last updated
09/15/2014
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