Provider Demographics
NPI:1487973368
Name:GREGORY-PERKINS, LENYA
Entity type:Individual
Prefix:MRS
First Name:LENYA
Middle Name:
Last Name:GREGORY-PERKINS
Suffix:
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 1:4415 14TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7019
Mailing Address - Country:US
Mailing Address - Phone:202-722-4545
Mailing Address - Fax:202-722-4517
Practice Address - Street 1:4415 14TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7019
Practice Address - Country:US
Practice Address - Phone:202-722-4545
Practice Address - Fax:202-722-4517
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1744P300X1744P3200X
DCDCM2726171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No171W00000XOther Service ProvidersContractor