Individual
ERIC LUP SING LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 ERWIN RD, DUNN, NC 28334-4522
(910) 304-1212
(910) 292-2627
Mailing address
2439 SWORDFISH LN, NONE, EDGEWATER, FL 32141
(386) 589-7980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0072993
FL
207RI0011X
Interventional Cardiology Physician
2019-00745
NC
207RI0011X
Interventional Cardiology Physician
21989
KY
207RI0011X
Interventional Cardiology Physician
75651
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019-00745
NORTH CAROLINA STATE LICENSE
NC
05
—
PENDING
—
KY
Enumeration date
06/27/2006
Last updated
04/13/2026
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