Individual
LINDA SUE LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
37 W GARDEN ST, SUITE 201, AUBURN, NY 13021-2662
(315) 567-0777
(315) 702-8393
Mailing address
37 W GARDEN ST, SUITE 201, AUBURN, NY 13021-2662
(315) 567-0777
(315) 702-8393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331895-1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639229
—
NY
Enumeration date
07/26/2006
Last updated
01/29/2015
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