Individual
DR. MARCELYN ANN LEPIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2662
(970) 564-2658
Mailing address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
31971
AZ
207VG0400X
Gynecology Physician
Primary
DR.0037629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201171314
AZ FND MED CARE
AZ
01
—
4801210
CIGNA
AZ
01
—
AZ0756920
BC/BS AZ
AZ
Enumeration date
08/12/2005
Last updated
11/19/2024
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