Individual
DR. ROLLAND E LUPLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
758 HIGHWAY 46 S, DICKSON, TN 37055-2556
(615) 446-2708
(615) 441-5121
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15744
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080162954
RAILROAD MEDICARE PIN
—
01
—
3158217
BLUE CROSS BLUE SHIELD TN
TN
05
—
3857407
—
TN
Enumeration date
05/23/2005
Last updated
05/25/2021
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