Provider Demographics
NPI:1861617912
Name:LEPLEY PEDIATRICS
Entity type:Organization
Organization Name:LEPLEY PEDIATRICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-631-4000
Mailing Address - Street 1:809 SW 89TH ST
Mailing Address - Street 2:STE. B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9300
Mailing Address - Country:US
Mailing Address - Phone:405-631-4000
Mailing Address - Fax:405-631-4404
Practice Address - Street 1:809 SW 89TH ST
Practice Address - Street 2:STE. B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9300
Practice Address - Country:US
Practice Address - Phone:405-631-4000
Practice Address - Fax:405-631-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2247208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty