Provider Demographics
NPI:1285624494
Name:LEPLEY, PAUL M JR (DPM)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:LEPLEY
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1678213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0004857OtherNEIGHBORHOOD HEALTH PLAN
MA710124OtherTUFTS HEALTH PLAN
MA0350133Medicaid
MAS009314OtherCHAMPUS
MA33043OtherHARVARD PILGRIM HEALTH
MALEY70744OtherBLUE SHIELD OF MA
MA2704466OtherUNITED HEALTH PLAN
MA0350133Medicaid
T58744Medicare UPIN