Cody Lee Cupp

NPI #1174301733 in Lexington, Michigan

Provider Information

NPI Number
1174301733
Entity Type
Individual
Name
Cody Lee Cupp
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 15, 2023
Last Updated
Sep 15, 2023

Practice Location

Address
7265 LAKESHORE RD
ZIP Code
48450-9779
Phone
(810) 625-3250

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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