Organization
LUPIN WOMENS HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS RALPH LUPIN MD (OWNER)
(504) 391-7678
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, SUITE 350, GRETNA, LA 70056-5255
(504) 391-7678
Mailing address
828 CHARTRES ST, NEW ORLEANS, LA 70116-3266
(504) 391-7678
(504) 391-7614
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L007673
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054003
—
LA
Enumeration date
01/28/2013
Last updated
01/28/2013
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