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NPI Code Detail

MEDICARE: LAUREN RAQUEL LEPORINI PT, DPT, NCS

MEDICARE:   LAUREN RAQUEL LEPORINI  PT, DPT, NCS
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
12251N0400XNeurology Physical TherapistPT 35853CA

General Provider Information

NPI Number : 1992057798
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RAQUEL LEPORINI PT, DPT, NCS
Provider Business Mailing Address
First Line : 9260 LOSTWOOD LN
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-4120
Country : US
Telephone Number : 916-208-3944
Fax Number :
Provider Business Practice Location Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-7040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2012
Last Update Date : 10/04/2012

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Directions to “ LAUREN RAQUEL LEPORINI PT, DPT, NCS” Practice Location

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