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NPI Code Detail

MEDICARE: MRS. DANIELLE M LUPTON DPT

MEDICARE: MRS. DANIELLE M LUPTON DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist4319OK

General Provider Information

NPI Number : 1326359696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE M LUPTON DPT
Provider Business Mailing Address
First Line : 6715 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74145-4520
Country : US
Telephone Number : 918-933-5896
Fax Number :
Provider Business Practice Location Address
First Line : 6715 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74145-4520
Country : US
Telephone Number : 918-933-5896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 05/22/2015

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