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NPI Code Detail

MEDICARE: RICHARD LEPANTO MD

MEDICARE: RICHARD LEPANTO 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 Physician058694GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1058694OTHERGALICENSE NUMBER

General Provider Information

NPI Number : 1467597039
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD LEPANTO MD
Provider Business Mailing Address
First Line : 901 18TH ST E
Second Line :
City : TIFTON
State : GA
Zip : 31794-3648
Country : US
Telephone Number : 229-353-6208
Fax Number : 229-353-7722
Provider Business Practice Location Address
First Line : 901 18TH ST E
Second Line :
City : TIFTON
State : GA
Zip : 31794-3648
Country : US
Telephone Number : 229-353-6208
Fax Number : 229-353-7722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 01/25/2026

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Directions to “ RICHARD LEPANTO MD” Practice Location

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