Healthcare Provider Details

I. General information

NPI: 1346977907
Provider Name (Legal Business Name): EASTERN ALLERGY & ASTHMA SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 KINGS HWY STE 102
LEWES DE
19958-1772
US

IV. Provider business mailing address

750 KINGS HWY STE 102
LEWES DE
19958-1772
US

V. Phone/Fax

Practice location:
  • Phone: 302-643-4123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LYVIA Y LEIGH
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 302-643-4123