Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micaela Lupov, PA

Individual provider Medical Physician Assistant · NPI 1700263928

Micaela Lupov, PA is a Medical Physician Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 N Robinson Ave Ste 200
Oklahoma City, OK 73102
Phone: (405) 271-8880
Fax: (405) 208-8732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2497 (OK)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1700263928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESAugust 27, 2018

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