Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND00011 | RI |
NPI | 1033714514 |
---|---|
Provider Name | Dr. Erica Lepore |
First Address | Wakefield, RI 02879-5433 |
Second Address | Wakefield, RI 02879-3656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2020 |
Last Update Date | 02/12/2020 |