Individual
JUSTIN EDWARD LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-7917
(508) 856-5074
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2291579
MA
363LF0000X
Family Nurse Practitioner
APRN00677
RI
363LF0000X
Family Nurse Practitioner
RN2291579
MA
Other
Enumeration date
03/25/2014
Last updated
04/15/2019
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