Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0101238295 | VA |
Y | 208600000X | Surgeon | 0101238295 | VA |
N | 2086S0122X | Plastic and Reconstructive Surgery | D0068099 | MD |
NPI | 1124146501 |
---|---|
Provider Name | Dr. Daniel Paul Luppens |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 18/04/2013 |