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NPI Profile for LOUDOUN MEDICAL GROUP PC in MCLEAN, VA.
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology |
| NPI Number | 1275124356 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/01/2021 | |
| Last updated | 12/01/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LOUDOUN MEDICAL GROUP, PC
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LOUDOUN MEDICAL GROUP, PC