Individual
HENRY LEPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 SUNSET BLVD N, SUNSET BEACH, NC 28468-4262
(910) 575-5750
(910) 575-5751
Mailing address
830 SUNSET BLVD N, SUNSET BEACH, NC 28468-4262
(910) 575-5750
(910) 575-5751
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
96-01376
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012EK
BLUE CROSS BLUE SHIELD NC
NC
05
—
8911413
—
NC
Enumeration date
09/20/2005
Last updated
02/20/2009
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