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NPI Code Detail

MEDICARE: COALINE LUPLOW

MEDICARE: COALINE LUPLOW
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
1164W00000XLicensed Practical Nurse4703085412MI

General Provider Information

NPI Number : 1881025039
Entity Type Code : Individual
Provider Name (Legal Business Name) : COALINE LUPLOW
Provider Business Mailing Address
First Line : 1132 CHEESMAN
Second Line :
City : SAINT LOUIS
State : MI
Zip : 48880-9402
Country : US
Telephone Number : 989-763-1016
Fax Number :
Provider Business Practice Location Address
First Line : 209 E CHIPPEWA ST
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-1609
Country : US
Telephone Number : 989-772-1261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 12/12/2013

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Directions to “ COALINE LUPLOW ” Practice Location

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