# MICHAEL A. LEPORE, JR., M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518018340
- **Authorized official:** DR. MICHAEL A. LEPORE, JR. M.D. (PRESIDENT)
- **Authorized official phone:** (757) 686-8700

## Contact information

- **Practice address:** 1510 BREEZEPORT WAY STE 600, HARBOUR BREEZE PROFESSIONAL CENTER, SUFFOLK, VA 23435-3738
- **Practice address phone:** (757) 686-8700
- **Practice address fax:** (757) 686-8006
- **Mailing address:** 1510 BREEZEPORT WAY STE 600, HARBOUR BREEZE PROFESSIONAL CENTER, SUFFOLK, VA 23435-3738
- **Mailing address phone:** (757) 686-8700
- **Mailing address fax:** (757) 686-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 10/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006209181 | — | VA |
| 01 | — | 160058189 | RAILROAD MEDICARE | VA |
| 01 | — | 49D0863102 | CLIA NUMBER | VA |
| 05 | — | 5901723 | — | NC |