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Individual

VIRGINIA KITCH LUPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
200 UCLA MEDICAL PLZ # 540, LOS ANGELES, CA 90095-8344
(310) 825-5721
Mailing address
200 UCLA MEDICAL PLZ # 540, LOS ANGELES, CA 90095-8344
(310) 825-5721

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
345
CO
231H00000X
Audiologist
Primary
AU2896
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59186348
CO
Enumeration date
03/25/2008
Last updated
05/23/2021
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