Loudoun Medical Group, PC

NPI #1962276774 in Lorton, Virginia

Provider Information

NPI Number: 1962276774
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Surgery
Enumeration Date: Nov 13, 2023
Last Updated: Nov 13, 2023

Practice Location

Address: 8988 LORTON STATION BLVD, SUITE 202
City: Lorton
State: Virginia
ZIP Code: 22079-4758
Phone: (703) 372-2280

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (703) 737-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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