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Contact Information

THOMAS LUPP II
4125 LONGVIEW AVE
ERIE, PA16510-3535
 Phone: 814-860-0777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Military Clinical Medical Laboratory

291900000X B4[14] Histocompatibility Laboratory
Indicates primary specialty

NPI Profile & details for THOMAS LUPP II · (Male)

NPI # 1417360462
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2014
Last updated 06/07/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 1108070014
  • License # 44317
  • HI License # 4830
  • Other 44317 ASCP MLT
  • Other 1108070014 US DEPT OF HHS - CLINICAL LABORATORY TECHNOLOGIST
  • HI Other 4830 STATE OF HAWAII MLT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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