| NPI | 1417921040 |
|---|---|
| Former Name | SUSAN LYNN LEPIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 4393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 41638-21) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-10-08 |