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NPI 1871123372 · live from the CMS NPI Registry

Lepoer Podiatry, INC.

Clinic/Center in Providence, RI. National Provider Identifier 1871123372, active.

NPI record

NPI1871123372 Type 2 · organization
StatusActive
Primary specialtyClinic/Center 261Q00000X
Practice location1 Randall Sq Ste 408, Providence, RI 02904
Practice phone401-453-2000
EnumeratedJanuary 23, 2020
Last updatedNovember 3, 2024
Authorized officialKrysia Lepoer, Authorized Official

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery213ES0103X—
Clinic/Center primary261Q00000X—
Clinic/Center, Podiatric261QP1100X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.