Individual
MARY BETH LEPCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4201 ST ANTOINE, STE 5B, DETROIT, MI 48201-2153
(313) 745-1741
(313) 745-8165
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-1741
(313) 745-8165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704091268
MI
363LA2200X
Adult Health Nurse Practitioner
4704091268
MI
Other
Enumeration date
05/31/2006
Last updated
10/25/2016
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