Individual
DR. LEZLEY PATRICIA MCILVEEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
B.D.S.,M.S.
Contact information
Practice address
131 ELDEN ST, SUITE #130, HERNDON, VA 20170-4876
(703) 689-3900
(703) 689-3903
Mailing address
131 ELDEN ST, SUITE #130, HERNDON, VA 20170-4876
(703) 689-3900
(703) 689-3903
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401006884
VA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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