Individual
MADISON LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
416 W 27TH ST, ASHTABULA, OH 44004-4975
(440) 641-0004
Mailing address
416 W 27TH ST, ASHTABULA, OH 44004-4975
(440) 641-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN.429343
OH
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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