MACKENZIE ELIZABETH LUPOV

BLOOMINGTON, IN
NPI1336371509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  11014966A)
Additional Taxonomies208M00000X Hospitalist
(Licence: IN  11014966A)
Enumeration Date2009-08-20
Last Update Date2017-11-02
Business Address
MACKENZIE ELIZABETH LUPOV M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-676-4542
Mailing Address
MACKENZIE ELIZABETH LUPOV M.D.
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number: