MEDICARE: ABIGAIL LEPERA PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1598544132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL LEPERA PA

Provider Business Mailing Address
First Line	:	5317 DUNTEACHIN DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-8204
Country	:	US
Telephone Number	:	410-961-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	5317 DUNTEACHIN DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-8204
Country	:	US
Telephone Number	:	410-961-5570
Fax Number	:

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

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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Directions to “ ABIGAIL LEPERA PA” Practice Location

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