Individual
SANDRA LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
875 UNION STREET, SHELBYVILLE, TN 37160
(931) 488-5778
Mailing address
PO BOX 2672, SHELBYVILLE, TN 37162-2641
(931) 488-5778
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2891
TN
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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