Provider Demographics
NPI:1386825545
Name:LEPIEN CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:LEPIEN CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEPIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-252-5800
Mailing Address - Street 1:73 S HIGHWAY 81 STE 101
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-2626
Mailing Address - Country:US
Mailing Address - Phone:580-252-5800
Mailing Address - Fax:580-255-9169
Practice Address - Street 1:73 S HIGHWAY 81 STE 101
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-2626
Practice Address - Country:US
Practice Address - Phone:580-252-5800
Practice Address - Fax:580-255-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3622111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK366802620OtherMEDICARE