Provider Demographics
NPI:1407174592
Name:LEPPER, CHRISTY LEE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:LEE
Last Name:LEPPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:ADAMS CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:13606-0525
Mailing Address - Country:US
Mailing Address - Phone:315-583-9737
Mailing Address - Fax:
Practice Address - Street 1:13339 US RT 11
Practice Address - Street 2:
Practice Address - City:ADAMS CENTER
Practice Address - State:NY
Practice Address - Zip Code:13606
Practice Address - Country:US
Practice Address - Phone:315-583-9737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261538164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse