DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS LUPP II

Active Sole Proprietor

Clinical Medical Laboratory · ERIE, PA

Registration Details

NPI Number
1417360462
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2014 (11.874096213171 yrs)
Last Updated
Jun 7, 2014
Licenses
4830 (HI)
1108070014
44317
Sole Proprietor
Yes

Practice Information

Address
4125 LONGVIEW AVE
ERIE, PA, 165103535
Browse PA providers · Browse ZIP 16510
Phone
8148600777
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
Clinical Medical Laboratory
Additional Specialty
Clinical Medical Laboratory
Additional Specialty
Clinical Medical Laboratory
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.