# 633D MEDGRP-JB LANGLEY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 633D MEDGRP-JB LANGLEY
- **Other names:** 1st Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609859891
- **Legal business name:** 633D MEDGRP-JB LANGLEY
- **Authorized official:** JEN LEWANDOWSKI (DHA FINANCIAL MANAGER)
- **Authorized official phone:** (703) 817-4030

## Contact information

- **Practice address:** 77 NEALY AVE, LANGLEY AFB, VA 23665-2040
- **Practice address phone:** (757) 764-6807
- **Practice address fax:** (757) 764-0821
- **Mailing address:** 77 NEALY AVE, LANGLEY AFB, VA 23665-2040
- **Mailing address phone:** (757) 764-6807
- **Mailing address fax:** (757) 764-0821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 06/17/2025