Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 0101237833 | VA |
NPI | 1295718880 |
---|---|
Provider Name | Dr. Mark A. Lepsch |
First Address | Charlottesville, VA 22908-1205 |
Second Address | Charlottesville, VA 22908-1205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 29/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010171881 | (05) | VA |
AETNA | 7445699 (01) | VA |
ANTHEM | 181030 (01) | VA |
CIGNA | 1861754 (01) | VA |
I34001 | (02) | VA |
SOUTHERN HEALTH | 321011 (01) | VA |