Individual
THOMAS LUPP II
Active
Individual
THOMAS LUPP II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
—
—
291U00000X
Clinical Medical Laboratory
Primary
1108070014
—
291U00000X
Clinical Medical Laboratory
44317
—
291U00000X
Clinical Medical Laboratory
4830
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108070014
US DEPT OF HHS - CLINICAL LABORATORY TECHNOLOGIST
—
01
—
44317
ASCP MLT
—
01
—
4830
STATE OF HAWAII MLT
HI
Enumeration date
06/07/2014
Last updated
06/07/2014
Update your record
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