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Individual

DR. RAYMOND R LUPKAS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 MEMORIAL DR, ANESTHESIA DEPT, PINEHURST, NC 28374-8708
(910) 215-1000
Mailing address
PO BOX 890178, CHARLOTTE, NC 28289-0178
(706) 860-2701

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9401442
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050041120
RR MEDICARE
NC
01
53257
BCBS OF NORTH CAROLINA
NC
01
75933
MEDCOST
NC
05
8953257
NC
05
N60874
SC
Enumeration date
01/16/2006
Last updated
11/16/2016
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