Provider Demographics
NPI:1043090020
Name:AH LEONG-LUI, TILE ANN (MBBS, MPH)
Entity Type:Individual
Prefix:DR
First Name:TILE
Middle Name:ANN
Last Name:AH LEONG-LUI
Suffix:
Gender:F
Credentials:MBBS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4995
Mailing Address - Street 2:
Mailing Address - City:PAGO PAGO
Mailing Address - State:AS
Mailing Address - Zip Code:96799-4995
Mailing Address - Country:US
Mailing Address - Phone:684-256-5574
Mailing Address - Fax:
Practice Address - Street 1:TAFUNA FAMILY HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:PAGOPAGO
Practice Address - State:AS
Practice Address - Zip Code:96799
Practice Address - Country:US
Practice Address - Phone:684-699-6380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AS5068C207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine