Individual
FRED ANTHONY LEPORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(708) 895-9385
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004195A
IN
207P00000X
Emergency Medicine Physician
036128619
IL
Other
Enumeration date
04/29/2009
Last updated
07/23/2024
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