Individual
BRIAN L LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
Mailing address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8424
WI
Other
Enumeration date
06/18/2018
Last updated
05/16/2025
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