Provider Demographics
NPI:1689253320
Name:LEPORT, HANNAH (MD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LEPORT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15167 HUNTINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25515-6615
Mailing Address - Country:US
Mailing Address - Phone:304-675-4340
Mailing Address - Fax:304-675-6911
Practice Address - Street 1:15167 HUNTINGTON RD
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25515-6615
Practice Address - Country:US
Practice Address - Phone:304-675-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV33582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine