Individual
DR. JAKOB TOMAS LUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY STE 270, SEATTLE, WA 98122-5392
(206) 625-0578
(206) 625-9184
Mailing address
PO BOX 840842, DALLAS, TX 75284-0862
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ML60866818
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2015
Last updated
07/07/2022
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