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Organization
LEPOER PODIATRY, INC.
Active
Organization
LEPOER PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSIA LEPOER DPM (AUTHORIZED OFFICIAL)
(401) 453-2001
Entity
Organization
Contact information
Practice address
1 RANDALL SQ STE 408, PROVIDENCE, RI 02904-7405
(401) 453-2000
(401) 453-2002
Mailing address
1 RANDALL SQ STE 408, PROVIDENCE, RI 02904-7405
(401) 453-2000
(401) 453-2002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
01/23/2020
Last updated
11/03/2024
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