Individual
DR. JEFFREY ROBERT LUPOVITCH
Active
Individual
DR. JEFFREY ROBERT LUPOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301079764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104933152
—
MI
01
—
180F372960
BLUE CARE NETWORK
—
01
—
381867275
HARRINGTON BENEFITS
—
01
—
JL079764
STATE LICENSE
MI
01
—
OH24256
BLUE CROSS
MI
Enumeration date
06/16/2006
Last updated
04/21/2009
Update your record
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