Individual
REBECCA A. LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1707 AIRPORT RD, HOT SPRINGS, AR 71913-7949
(501) 767-6200
(501) 767-0584
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 767-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-2762
AR
207Q00000X
Family Medicine Physician
Primary
E-2762
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109410
—
LA
05
—
142585001
—
AR
05
—
200067930A
—
OK
01
—
5L749
BCBS
AR
01
—
P00005733
RAILROAD
—
Enumeration date
12/13/2005
Last updated
07/21/2022
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