Individual
NICK LEPORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
913 N DIXIE AVE, EMERGENCY DEPARTMENT, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
(859) 514-5521
Mailing address
PO BOX 950112, DEPT 52387, LOUISVILLE, KY 40295-0112
(866) 965-3774
(781) 276-6411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000829738
BCBS
KY
01
—
11281846
CAQH
MI
05
—
1851347819
—
MI
05
—
7100256490
—
KY
Enumeration date
05/25/2006
Last updated
07/19/2016
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