Provider Demographics
NPI:1174132682
Name:LEUGA, TOUKO (NP)
Entity type:Individual
Prefix:
First Name:TOUKO
Middle Name:
Last Name:LEUGA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 YANCEY LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1407
Mailing Address - Country:US
Mailing Address - Phone:240-432-1076
Mailing Address - Fax:
Practice Address - Street 1:6410 ROCKLEDGE DR STE 110
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1825
Practice Address - Country:US
Practice Address - Phone:301-530-5610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR176704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily