Loudoun Internal and Lifestyle Medicine LLC

NPI #1396386447 in Lansdowne, Virginia

Provider Information

NPI Number: 1396386447
Entity Type: Organization
Organization Name: Loudoun Internal and Lifestyle Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 19415 DEERFIELD AVE STE 210
City: Lansdowne
State: Virginia
ZIP Code: 20176-8471
Phone: (703) 967-3863

Authorized Official

Name: DR. GAUTHAMI GONDY, MD
Title: OWNER
Phone: (703) 967-3863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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