Individual
KRYSTINA LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2091 COLLIER PKWY, LAND O LAKES, FL 34639-5202
(954) 290-7623
Mailing address
515 W 59TH ST APT 29B, NEW YORK, NY 10019-1042
(954) 290-7623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20075
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
05/20/2013
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