Organization
LUPI ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKY JAMES LUPI AA (PRESIDENT)
(440) 479-8894
Entity
Organization
Contact information
Practice address
8124 STOCKBRIDGE RD, MENTOR, OH 44060-7633
(440) 479-8894
(216) 928-0141
Mailing address
8124 STOCKBRIDGE RD, MENTOR, OH 44060-7633
(440) 479-8894
(216) 928-0141
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466317
—
OH
01
—
P00112288
RAILROAD MEDICARE
OH
Enumeration date
02/15/2007
Last updated
08/22/2020
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