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NPI Code Detail

MEDICARE: OLIVIA CREAGER-LUPOLI

MEDICARE: OLIVIA CREAGER-LUPOLI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCT

General Provider Information

NPI Number : 1467384750
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA CREAGER-LUPOLI
Provider Business Mailing Address
First Line : 20 FELICITY LN
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-6101
Country : US
Telephone Number : 860-489-4144
Fax Number :
Provider Business Practice Location Address
First Line : 20 FELICITY LN
Second Line :
City : TORRINGTON
State : CT
Zip : 06790-6101
Country : US
Telephone Number : 860-489-4144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ OLIVIA CREAGER-LUPOLI ” Practice Location

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