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Individual

ROBERT A LUPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Mailing address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD067685L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000516159
HIGHMARK
PA
05
0017423900001
PA
01
200037455
RAILROAD MEDICARE
Enumeration date
04/19/2006
Last updated
10/02/2020
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