Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101252174 | VA |
NPI | 1003074428 |
---|---|
Provider Name | Dr. David Leng |
First Address | Ashburn, VA 20147-6988 |
Second Address | Ashburn, VA 20147-6988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 07/06/2021 |