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NPI Code Detail

MEDICARE: JORDAN WATFORD LUPTON

MEDICARE:   JORDAN WATFORD LUPTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7732NC

General Provider Information

NPI Number : 1801743109
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN WATFORD LUPTON
Provider Business Mailing Address
First Line : 153 HEPLER HYLLS CT
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-9558
Country : US
Telephone Number : 336-242-5522
Fax Number :
Provider Business Practice Location Address
First Line : 250 COUNTY SCHOOL RD
Second Line :
City : LEXINGTON
State : NC
Zip : 27292-5670
Country : US
Telephone Number : 336-242-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ JORDAN WATFORD LUPTON ” Practice Location

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