Individual
DAWN HILTON LUPICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N. CHARLES STREET, BALTIMORE, MD 21204
(443) 849-8046
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0002620
MD
363AS0400X
Surgical Physician Assistant
Primary
C0002620
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005FLORIBUN
—
MD
Enumeration date
12/14/2012
Last updated
12/14/2012
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