| NPI | 1649539107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LUPO Member 814-866-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC002229L) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-08-15 |