Individual
LAUREN CUPITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
1775 DELCO PARK DR, KETTERING, OH 45420-1398
(937) 299-2339
Mailing address
1775 DELCO PARK DR, KETTERING, OH 45420-1398
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.019538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179245
—
OH
Enumeration date
08/03/2016
Last updated
03/30/2017
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