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Individual

ASHLEY LUPICHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6100
Mailing address
2870 MONTGOMERY HWY, DOTHAN, AL 36303-2606
(334) 500-5550

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/08/2025
Last updated
08/04/2026
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