Individual
MICHELLE LEE LUPICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
214 SOUTH 4TH STREET, KREMMLING, CO 80459
(970) 724-3442
(970) 724-9606
Mailing address
1000 W 8TH AVE, YUMA, CO 80759-2641
(970) 848-5405
(970) 848-5475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91186374
—
CO
Enumeration date
05/28/2008
Last updated
02/12/2020
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