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NPI Code Detail

MEDICARE: ALEXA N. LUPO

MEDICARE: ALEXA N. LUPO
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
1183500000XPharmacist15997CO

General Provider Information

NPI Number : 1356684575
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA N. LUPO
Provider Business Mailing Address
First Line : 1919 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-7125
Country : US
Telephone Number : 720-857-6422
Fax Number : 303-857-6509
Provider Business Practice Location Address
First Line : 1919 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-7125
Country : US
Telephone Number : 720-857-6422
Fax Number : 720-857-6509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 02/09/2021

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Directions to “ ALEXA N. LUPO ” Practice Location

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