Provider Demographics
NPI:1396716155
Name:LEPI, MARK S (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:LEPI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1548 SHERIDAN DR
Mailing Address - Street 2:STE 200
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1378
Mailing Address - Country:US
Mailing Address - Phone:740-689-9860
Mailing Address - Fax:740-689-9863
Practice Address - Street 1:1548 SHERIDAN DR
Practice Address - Street 2:STE 200
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1378
Practice Address - Country:US
Practice Address - Phone:740-689-9860
Practice Address - Fax:740-689-9863
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2011-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35 07 9329 L207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000277909OtherOHIO MEDICAID UNISON
OH310917085197OtherOHIO MEDICAID CARESOURCE
OH2414864OtherOHIO MEDICAID MOLINA
OH2414864Medicaid
OH000000277909OtherOHIO MEDICAID UNISON
OH2414864OtherOHIO MEDICAID MOLINA