Katie Larissa Lupton, is a
Licensed Practical Nurse based in Dekalb, Illinois. Katie Larissa Lupton is licensed to practice in Illinois (license number 043106608) and her current practice location is
1249 Omega Circle Dr, Dekalb, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 501-3121.
NPI number for Katie Larissa Lupton is 1033871744 and her current mailing address is 1249 Omega Circle Dr, Dekalb, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033871744.
Provider's Profile
Full Name | Katie Larissa Lupton |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1249 Omega Circle Dr, Dekalb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033871744
- Provider Enumeration Date: 10/10/2021
- Last Update Date: 10/10/2021
Medical Identifiers
Medical identifiers for Katie Larissa Lupton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033871744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043106608 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Larissa Lupton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Larissa Lupton, 1249 Omega Circle Dr, Dekalb, IL 60115-5809 Ph: (815) 501-3121 | Katie Larissa Lupton, 1249 Omega Circle Dr, Dekalb, IL 60115-5809 Ph: (815) 501-3121 |
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