# MR. LEE THOMAS SHUPING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801914981
- **Gender:** Man
- **Credential:** M.D., MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0116023402 | VA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2015-00533 | NC | Yes |
| 225100000X | Physical Therapist | 10443 | NC | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 10/26/2017