Organization
LUPO CHIROPRACTIC LIFE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LUPO D.C. (OWNER)
(586) 772-5876
Entity
Organization
Contact information
Practice address
27850 GRATIOT AVE, ROSEVILLE, MI 48066-4803
(586) 772-5876
(586) 772-1122
Mailing address
27850 GRATIOT AVE, ROSEVILLE, MI 48066-4803
(586) 772-5876
(586) 772-1122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MI
225100000X
Physical Therapist
—
MI
225700000X
Massage Therapist
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E001220
BCBS MI
MI
Enumeration date
01/30/2007
Last updated
05/07/2014
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