Lord, Leyla

Lord, Leyla is an individual health care provider with primary practice located at 4509 E Lancaster Ave , Fort Worth TX 76103-3210. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Lord, Leyla can be contacted via phone (817) 546-1020.

Contact Information

Primary practice address
4509 E Lancaster Ave Fort Worth TX 76103-3210
Phone: (817) 546-1020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22028 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22028 Texas
Dental Providers / General Practice 1223G0001X 22028 Texas

Profile Details

NPI number 1962446195
LBN Legal business name Lord, Leyla
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 12th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962446195 NPPES
Texas MEDICAID 177615501

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