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Contact Information

LOUDOUN MEDICAL GROUP, PC
19450 DEERFIELD AVENUE, SUITE 200
LEESBURG, VA20176
 Phone: 703-777-3262
 Fax: 703-777-3365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LOUDOUN MEDICAL GROUP, PC

NPI Number 1538867338
LBN Legal business name LOUDOUN MEDICAL GROUP, PC
Authorized official MARY BETH TAMASY - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/21/2023
Last updated 02/24/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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