SearchIndiana207R00000X

Mackenzie Lupov, M.D

NPI 1336371509 · on the registry since 2009

Practice

Address
601 W 2nd St
Bloomington, IN 47403
Phone
(812) 676-4542
Fax
(812) 676-4106
Organisation at this address
Indiana University Health Bloomington Inc
Indiana University Health Bloomington Inc
Indiana University Health Bloomington Inc
Indiana University Health Bloomington Inc
Indiana University Health Bloomington Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208M00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana