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Individual

DR. LAWRENCE LUPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2766 SUNRISE HWY, BELLMORE, NY 11710-3639
(516) 826-2020
Mailing address
2766 SUNRISE HWY, BELLMORE, NY 11710-3639
(516) 826-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV3567
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108145
VYTRA
NY
01
14704
AETNA
NY
01
2017415
UNITED HEALTHCARE
NY
01
2C6996
HEALTHNET
NY
01
6500700
GHI
NY
01
C196D1
EMPIRE
NY
01
P1059206
OXFORD
NY
01
UT003567
HIP
NY
Enumeration date
11/23/2005
Last updated
03/31/2008
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