Individual
PHYLLIS A LUPINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 WESTWOOD AVE, RICHMOND, VA 23227-4347
(804) 358-1874
(804) 278-8977
Mailing address
1901 WESTWOOD AVE, RICHMOND, VA 23227-4347
(804) 358-1874
(804) 278-8977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978013
—
VA
Enumeration date
09/03/2008
Last updated
09/08/2008
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