Individual
DR. DALLAS A LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 SPRING ST, SUITE 400, SILVER SPRING, MD 20910-2735
(301) 495-3742
(301) 495-3743
Mailing address
1400 SPRING ST, SUITE 400, SILVER SPRING, MD 20910-2735
(301) 495-3742
(301) 495-3743
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
D59136
MD
2081P0004X
Spinal Cord Injury Medicine Physician
L3375
TX
2081P0004X
Spinal Cord Injury Medicine Physician
MD33523
DC
Other
Enumeration date
08/04/2006
Last updated
04/01/2015
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