Individual provider · Type 1 NPI

Leslie Lynn Dicarlo-Hack, PA-C

Medical Physician Assistant · Columbia, MD

NPI number 1790696540 Active

Practice location

8908 Skyrock Ct
Columbia, MD 21046-1418

Call (410) 913-0135 Map

Fax (410) 913-0135

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0000074 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1790696540

Leslie Lynn Dicarlo-Hack, PA-C's National Provider Identifier is 1790696540, issued on Sep 12, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, MD. The record was last updated on Sep 12, 2026.