LANE TUPA

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1245060367

Practice Address

700 W FOREST AVE FL 5
Jackson, TN 38301

Phone: (731) 541-3755

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1245060367 is the National Provider Identifier for LANE TUPA, a Student in an Organized Health Care Education/Training Program provider located in Jackson, TN. This NPI was enumerated on August 5, 2024.
LANE TUPA practices at 700 W FOREST AVE FL 5, Jackson, TN 38301.

Quick Facts

NPI
1245060367
Type
Individual
Enumerated
Aug 5, 2024
Last Updated
Apr 9, 2025

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