Provider Demographics
NPI:1033714514
Name:LEPORE, ERICA (ND)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:LEPORE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FIRE LANE 1
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-5433
Mailing Address - Country:US
Mailing Address - Phone:401-787-6269
Mailing Address - Fax:
Practice Address - Street 1:213 ROBINSON ST STE 9
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3656
Practice Address - Country:US
Practice Address - Phone:401-787-6269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIND00011175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath