Individual
MISS GABRIELLE LA PORTA LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19450 DEERFIELD AVE STE 100, LEESBURG, VA 20176-6821
(571) 350-3668
(703) 729-2689
Mailing address
PO BOX 845347, DALLAS, TX 75284-5437
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006332
VA
363A00000X
Physician Assistant
Primary
PA11542
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/29/2017
Last updated
01/11/2023
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