Individual
ALEX LUPOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4504 WESTBRANCH HWY, LEWISBURG, PA 17837-6605
(570) 768-4970
Mailing address
1331 COUNTY LINE RD, SELINSGROVE, PA 17870-8187
(570) 765-1636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003669
PA
Other
Enumeration date
05/21/2020
Last updated
06/22/2020
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