National Provider Identifier Database

LOUDOUN MEDICAL GROUP PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LOUDOUN MEDICAL GROUP, PC
19500 SANDRIDGE WAY, SUITE 450
LEESBURG, VA20176-3467
Phone: 703-656-9805
Fax: 703-729-6576
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Infusion Therapy 261QI0500X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for LOUDOUN MEDICAL GROUP, PC

NPI Number 1295201895
Legal business name
LBN
LOUDOUN MEDICAL GROUP, PC
Authorized official MARY BETH TAMASY - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/22/2018
Last updated 10/21/2024 - More than a year 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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