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Organization
MICHAEL A. LEPORE, JR., M.D.
Active
Organization
MICHAEL A. LEPORE, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. LEPORE, JR. M.D. (PRESIDENT)
(757) 686-8700
Entity
Organization
Contact information
Practice address
1510 BREEZEPORT WAY STE 600, HARBOUR BREEZE PROFESSIONAL CENTER, SUFFOLK, VA 23435-3738
(757) 686-8700
(757) 686-8006
Mailing address
1510 BREEZEPORT WAY STE 600, HARBOUR BREEZE PROFESSIONAL CENTER, SUFFOLK, VA 23435-3738
(757) 686-8700
(757) 686-8006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209181
—
VA
01
—
160058189
RAILROAD MEDICARE
VA
01
—
49D0863102
CLIA NUMBER
VA
05
—
5901723
—
NC
Enumeration date
01/16/2007
Last updated
10/20/2014
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