Individual
DR. MICHAEL MARK LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5576 MAYFIELD RD, LYNDHURST, OH 44124-2928
(440) 442-2901
(440) 442-1932
Mailing address
5576 MAYFIELD RD, LYNDHURST, OH 44124-2928
(440) 442-2901
(440) 442-1932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.017191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-0401716
TAXPAYER ID NUMBER
OH
05
—
2772870
—
OH
Enumeration date
02/02/2007
Last updated
03/15/2011
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