Individual
LEILA TUCKER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18506 OFFICE PARK DR, MONTGOMERY VILLAGE, MD 20886-0585
(301) 840-0840
Mailing address
18506 OFFICE PARK DR, MONTGOMERY VILLAGE, MD 20886-0585
(301) 840-0840
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD035161
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036478700
—
DC
05
—
10129354
—
VA
05
—
408578700
—
MD
Enumeration date
10/25/2006
Last updated
07/09/2011
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