Individual
KEITH J LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2750 EAST GAUSE BLVD., SLIDELL, LA 70461
(985) 639-3777
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
266
AL
213E00000X
Podiatrist
Primary
DPM.PD314R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783285
—
MS
05
—
1888214
—
LA
05
—
3354056
—
TN
01
—
51524600
BCBS
AL
Enumeration date
12/09/2006
Last updated
02/23/2010
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