National Provider Identifier Database

LLFAGANMD LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LLFAGANMD LLC
1800 TOWN CENTER DR
SUITE 212
RESTON, VA20190
Phone: 703-435-2227
Fax: 703-435-7856
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LLFAGANMD LLC

NPI Number 1528143385
Legal business name
LBN
LLFAGANMD LLC
Authorized official LYNNE FAGAN - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 03/24/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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