Individual
MISS AMY LAURA LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
501 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-2667
(252) 975-2507
Mailing address
501 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-2667
(252) 975-2507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102291
NC
Other
Enumeration date
02/22/2006
Last updated
01/14/2022
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