Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE ANNE LUPTON, LAT, ATC
Active Sole ProprietorMRS. JACQUELINE ANNE LUPTON, LAT, ATC is a Sports Medicine (EM) healthcare provider located in SAVANNAH, Georgia. NPI 1053840413 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · SAVANNAH, GA
Registration Details
- NPI Number
- 1053840413
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2017 (9.1402160406864 yrs)
- Last Updated
- Aug 13, 2023
- Licenses
-
2000028113 (CO)AT004124 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
824 STILLWOOD DRSAVANNAH, GA, 314192643Browse GA providers · Browse ZIP 31419
- Phone
- 9129618764
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.