Individual
JAMES WILLIAM LEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42969800
—
WI
01
—
975
STATE LICENSE
WI
Enumeration date
07/11/2006
Last updated
03/07/2023
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