Provider Demographics
NPI:1386424125
Name:LEPP, CORINNE (LPN)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:LEPP
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 504
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58413-0504
Mailing Address - Country:US
Mailing Address - Phone:701-321-5727
Mailing Address - Fax:701-288-3581
Practice Address - Street 1:411 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:ASHLEY
Practice Address - State:ND
Practice Address - Zip Code:58413-0723
Practice Address - Country:US
Practice Address - Phone:701-321-5727
Practice Address - Fax:701-288-3581
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDP7500164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse