MS. Lori J Chupp, M PA-S
NPI #1396729778 in Elmendorf Afb, Alaska
Provider Information
- NPI Number
- 1396729778
- Entity Type
- Individual
- Name
- MS. Lori J Chupp, M PA-S
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- M PA-S
- Enumeration Date
- Nov 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5955 ZEAMER AVE
- Address 2
- 3 MDOS / SGOEF
- City
- Elmendorf Afb
- State
- Alaska
- ZIP Code
- 99506-3702
- Phone
- (907) 580-2318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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