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Individual

DR. PAUL D LEPOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101005494
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202187
MCLAREN HEALTH PLAN
MI
05
3303808
MI
01
3510305
HEALTH PLUS
MA
01
4120726
AETNA
MI
01
5441030
BLUE CROSS INDIVIDUAL
MI
01
C1526
MCARE
MI
01
E26492
HEALTH NET FEDERAL SERV
MI
Enumeration date
11/04/2005
Last updated
07/13/2026
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