Alex Lupolt, OD
Optometrist in Lewisburg, PA. Individual provider (NPI-1).
NPI number1962025239
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1962025239
- Entity type
- Individual (NPI-1)
- Name
- Alex Lupolt
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2020
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG003669 | PA | Yes |
Practice location
4504 Westbranch HwyLewisburg, PA 17837-6605
Phone 570-768-4970
Mailing address
1331 County Line RdSelinsgrove, PA 17870-8187
Phone 570-765-1636
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All 12 Optometrist providers in Lewisburg · All 1,044 providers in Lewisburg
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