Provider Demographics
NPI:1457731788
Name:PAUL M LEPLEY JR.
Entity type:Organization
Organization Name:PAUL M LEPLEY JR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAU
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEPLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:508-528-6232
Mailing Address - Street 1:440 E CENTRAL ST STE 6
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1374
Mailing Address - Country:US
Mailing Address - Phone:508-528-6232
Mailing Address - Fax:508-528-0773
Practice Address - Street 1:440 E CENTRAL ST STE 6
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1374
Practice Address - Country:US
Practice Address - Phone:508-528-6232
Practice Address - Fax:508-528-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1678213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0350133Medicaid
MA0350133Medicaid