Provider Demographics
NPI:1538699814
Name:ALLBRIGHT, LEAH ROSE TOWARNICKY (MD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ROSE TOWARNICKY
Last Name:ALLBRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:ROSE
Other - Last Name:TOWARNICKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6060 OLD LANDING WAY
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4762
Mailing Address - Country:US
Mailing Address - Phone:703-929-3817
Mailing Address - Fax:
Practice Address - Street 1:24801 PINEBROOK RD STE 204
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-4113
Practice Address - Country:US
Practice Address - Phone:703-722-2512
Practice Address - Fax:703-722-2513
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-19
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116030825207V00000X
VA0101271114207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty