Individual
DR. CYNTHIA ANN LEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3492 EDGEWOOD PARK DR, COMMERCE TOWNSHIP, MI 48382-4434
(586) 381-5960
Mailing address
3492 EDGEWOOD PARK DR, COMMERCE TOWNSHIP, MI 48382-4434
(586) 381-5960
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301066198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103481640
—
MI
05
—
104175248
—
MI
05
—
104308540
—
MI
01
—
CL066198
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
04/21/2021
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