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NPI Code Detail

MEDICARE: AMY A LEPAGE MD

MEDICARE: AMY A LEPAGE MD
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
1207P00000XEmergency Medicine PhysicianMED-PHYS-LIC-11124MT

General Provider Information

NPI Number : 1215915129
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY A LEPAGE MD
Provider Business Mailing Address
First Line : 408 WENDELL AVE
Second Line :
City : LEWISTOWN
State : MT
Zip : 59457-2261
Country : US
Telephone Number : 406-535-7711
Fax Number :
Provider Business Practice Location Address
First Line : 408 WENDELL AVE
Second Line :
City : LEWISTOWN
State : MT
Zip : 59457-2261
Country : US
Telephone Number : 406-535-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 03/25/2021

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Directions to “ AMY A LEPAGE MD” Practice Location

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