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Individual

DR. DAVID EMANUEL LUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, FNP-C

Contact information

Practice address
7155 W WILLOW AVE, PEORIA, AZ 85381-6062
(623) 300-6581
(623) 321-8488
Mailing address
7155 W WILLOW AVE, PEORIA, AZ 85381-6062
(623) 300-6581
(623) 321-8488

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN197310
AZ
363L00000X
Nurse Practitioner
Primary
271415
AZ

Other

Enumeration date
11/24/2021
Last updated
03/22/2024
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