Individual
SAMANTHA JOELLE LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
2308 WESVILL CT, RALEIGH, NC 27607-2949
(919) 781-4311
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(985) 264-6438
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
200000010
NC
367H00000X
Anesthesiologist Assistant
2009030827
MO
Other
Enumeration date
06/04/2009
Last updated
10/25/2022
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