Provider Demographics
NPI:1396847182
Name:LEPOSAVIC, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:LEPOSAVIC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3827 N 10TH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1745
Mailing Address - Country:US
Mailing Address - Phone:568-030-7489
Mailing Address - Fax:805-681-1768
Practice Address - Street 1:5333 HOLLISTER AVE STE 105
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-3309
Practice Address - Country:US
Practice Address - Phone:805-770-8400
Practice Address - Fax:805-770-8400
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2022-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA63047207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A630470Medicaid
CAWA63047BMedicare PIN
CA00A630470Medicaid
CAWA63047AMedicare PIN