Provider Demographics
NPI:1164699104
Name:LESCH, EMILY ECKERLEY (DO)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ECKERLEY
Last Name:LESCH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9711 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3323
Mailing Address - Country:US
Mailing Address - Phone:301-762-5501
Mailing Address - Fax:301-309-8727
Practice Address - Street 1:9711 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 109
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3323
Practice Address - Country:US
Practice Address - Phone:301-762-5501
Practice Address - Fax:301-309-8727
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0074038207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology