# LORI CHRISTINE LEIPOLD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841202405
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 036-105955 | IL | Yes |
| 208M00000X | Hospitalist Physician | 036105955 | IL | — |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 03/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036105955 | — | IL |