Provider Demographics
NPI:1053597724
Name:LEPORE, VICTORIA LYNN (CNA)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LYNN
Last Name:LEPORE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16840 HENDERSON RD LOT 159
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:MD
Mailing Address - Zip Code:21640-1664
Mailing Address - Country:US
Mailing Address - Phone:410-482-2860
Mailing Address - Fax:410-482-2860
Practice Address - Street 1:5700 KIRKWOOD HWY STE 203
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4884
Practice Address - Country:US
Practice Address - Phone:302-998-0469
Practice Address - Fax:302-998-0298
Is Sole Proprietor?:No
Enumeration Date:2008-01-12
Last Update Date:2008-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE00009901105376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide