# GARY P LUPPENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215099759
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0022099 | MD | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 04/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000090501 | — | DE |
| 05 | — | 006340709 | — | VA |
| 01 | — | 20886 | MAMSI | — |
| 01 | — | 331190 | CAREFIRST BCBS | MD |
| 01 | — | 4410364 | AETNA | — |
| 05 | — | 961001400 | — | MD |
| 01 | — | T6990004 | CAREFIRST BLUE CHOICE | MD |