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Individual

MARY L LEPPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-9200
(443) 923-9405
Mailing address
2931 E BIDDLE ST, PATIENT ACCOUNTING, BALTIMORE, MD 21213-3939
(443) 923-1886
(443) 923-1895

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
D41387
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370011900
MD
01
54337201
CAREFIRST BC BS
MD
Enumeration date
01/08/2007
Last updated
07/08/2007
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