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Organization

LYNN LUPINI, PH.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN N. LUPINI PH.D., LICENSED PSYC (OWNER)
(269) 979-3881
Entity
Organization

Contact information

Practice address
309 W WALNUT ST, KALAMAZOO, MI 49007-5176
(269) 274-8003
(269) 979-2841
Mailing address
5047 W MAIN ST # 317, KALAMAZOO, MI 49009-1001
(269) 979-3881
(269) 979-2841

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011489
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P11970
MEDICARE PTAN
MI
05
MI9118
MI
Enumeration date
08/03/2006
Last updated
11/28/2022
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