# LEPOER PODIATRY, INC.

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

## Provider details

- **NPI number:** 1871123372
- **Authorized official:** KRYSIA LEPOER DPM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (401) 453-2001

## Contact information

- **Practice address:** 1 RANDALL SQ STE 408, PROVIDENCE, RI 02904-7405
- **Practice address phone:** (401) 453-2000
- **Practice address fax:** (401) 453-2002
- **Mailing address:** 1 RANDALL SQ STE 408, PROVIDENCE, RI 02904-7405
- **Mailing address phone:** (401) 453-2000
- **Mailing address fax:** (401) 453-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/23/2020
- **Last updated:** 11/03/2024
