Individual
DR. SAMUEL ELIJAH LUPKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
300 WESTERN AVE NW STE 100 1/2, FARIBAULT, MN 55021-4528
(916) 747-0029
Mailing address
601 1ST AVE NE APT 327, FARIBAULT, MN 55021-2904
(916) 747-0029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3832
MN
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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