Provider Demographics
NPI:1598589657
Name:MANS, LEYLA LILY II
Entity type:Individual
Prefix:MS
First Name:LEYLA
Middle Name:LILY
Last Name:MANS
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 HERNDON MILL CIR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4487
Mailing Address - Country:US
Mailing Address - Phone:703-864-5712
Mailing Address - Fax:
Practice Address - Street 1:143 HERNDON MILL CIR
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4487
Practice Address - Country:US
Practice Address - Phone:703-864-5712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter