Organization
RAYMOND R. LUPKAS JR, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND R LUPKAS JR. M.D. (OWNER)
(410) 819-0710
Entity
Organization
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1233
Mailing address
PO BOX 890178, CHARLOTTE, NC 28289-0178
(410) 819-0710
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9401442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040644894
TRICARE
NC
01
—
050041120
RR MEDICARE
NC
05
—
8953257
—
NC
05
—
N60874
—
SC
Enumeration date
05/22/2006
Last updated
10/18/2016
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