Individual
LAURA L. LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WT HARRIS BLVD, SUITE 5002, CHARLOTTE, NC 28262-3485
(704) 863-9700
(704) 548-0927
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 863-9700
(704) 548-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004-01261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89138CY
—
NC
05
—
N0126B
—
SC
Enumeration date
03/30/2007
Last updated
07/16/2013
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