Individual
DR. CAROLYN LEIGH LUPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
10100676-1205
UT
208600000X
Surgery Physician
MD2022-1067
NM
208600000X
Surgery Physician
Primary
MD216057
OR
2086S0102X
Surgical Critical Care Physician
MD2022-1067
NM
2086S0102X
Surgical Critical Care Physician
MD216057
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500824464
—
OR
Enumeration date
04/12/2015
Last updated
01/03/2025
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