Loudoun Medical Group, PC

NPI #1477004042 in Lorton, Virginia

Provider Information

NPI Number: 1477004042
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Specialist
Enumeration Date: Oct 19, 2016
Last Updated: Aug 18, 2023

Practice Location

Address: 8988 LORTON STATION BLVD
Address 2: SUITE 201
City: Lorton
State: Virginia
ZIP Code: 22079-4756
Phone: (703) 751-5763

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (703) 737-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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