Individual
DR. LISA ANN LEPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
18 ANDOVER DR, PORT JEFFERSON STATION, NY 11776-3014
(631) 474-1743
(631) 474-1770
Mailing address
18 ANDOVER DR, PORT JEFFERSON STATION, NY 11776-3014
(631) 473-5540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006301-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/09/2007
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