Individual
FREDERICK ARTHUR LUPTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1587 YANCEYVILLE ST, GREENSBORO, NC 27405-6933
(336) 271-2777
(336) 273-1910
Mailing address
PO BOX 14994, GREENSBORO, NC 27415-4994
(336) 271-2777
(336) 273-1910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33706
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015164
MEDICARE RAILROAD
NC
01
—
53282
BCBS
—
01
—
562221469
UHC/CIGNA/FIRST HEALTH
—
05
—
8953282
—
NC
Enumeration date
11/22/2005
Last updated
03/29/2012
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