Individual
LUCIAN I. LUPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21734 ALBION AVE, FARMINGTON HILLS, MI 48336-5604
(248) 895-1278
Mailing address
21734 ALBION AVE, FARMINGTON HILLS, MI 48336-5604
(248) 895-1278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1139591
MI
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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