MEDICARE: MICHAEL LEPORE 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
1	207Y00000X	Otolaryngology Physician	28484	CO
2	207Y00000X	Otolaryngology Physician	ME138055	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891704839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LEPORE MD

Provider Business Mailing Address
First Line	:	PO BOX 876
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80040-0876
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 E MARION AVE STE 133
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3868
Country	:	US
Telephone Number	:	941-833-1777
Fax Number	:	941-347-8544

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	09/09/2020

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Directions to “ MICHAEL LEPORE MD” Practice Location

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