Provider Demographics
NPI:1053181784
Name:LUPFER, CLAIRE (RDN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:LUPFER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 8TH AVE S UNIT 652
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-4647
Mailing Address - Country:US
Mailing Address - Phone:503-504-1413
Mailing Address - Fax:
Practice Address - Street 1:100 8TH AVE S UNIT 652
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-4647
Practice Address - Country:US
Practice Address - Phone:503-504-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN86264918133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered