Healthcare Provider Details

I. General information

NPI: 1093619215
Provider Name (Legal Business Name): ANNA BARBARA LEPORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 CONIFER HILL DR
DANVERS MA
01923-1193
US

IV. Provider business mailing address

142 SALEM ST
READING MA
01867-2614
US

V. Phone/Fax

Practice location:
  • Phone: 978-774-2555
  • Fax:
Mailing address:
  • Phone: 617-257-9120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberRN2337477
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: