MEDICARE: DR. ERICA LEPORE ND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	ND00011	RI

General Provider Information

NPI Number	:	1033714514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA LEPORE ND

Provider Business Mailing Address
First Line	:	14 FIRE LANE 1
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-5433
Country	:	US
Telephone Number	:	401-787-6269
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 ROBINSON ST STE 9
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-3656
Country	:	US
Telephone Number	:	401-787-6269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

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