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NPI Code Detail

MEDICARE: DR. ROCHELLE Y LEPOR D.O.

MEDICARE:  DR. ROCHELLE Y LEPOR  D.O.
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
1207Q00000XFamily Medicine Physician061119GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21962401570OTHERGANPI

General Provider Information

NPI Number : 1962401570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROCHELLE Y LEPOR D.O.
Provider Business Mailing Address
First Line : 400 TIMMS RD NE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-7016
Country : US
Telephone Number : 706-625-0022
Fax Number : 706-625-3803
Provider Business Practice Location Address
First Line : 400 TIMMS RD NE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-7016
Country : US
Telephone Number : 706-625-0022
Fax Number : 706-625-3803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 09/25/2012

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Directions to “ DR. ROCHELLE Y LEPOR D.O.” Practice Location

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