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Organization
LGN WEIGHT LOSS, LLC
Active
Organization
LGN WEIGHT LOSS, LLC
Active
Other names
LGN Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA THAYER (MANAGER)
(276) 644-2009
Entity
Organization
Contact information
Practice address
1114 E MAIN ST STE 6, LEBANON, VA 24266-5014
(276) 525-1800
Mailing address
PO BOX 306, LEBANON, VA 24266-0306
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101252617
VA
Other
Enumeration date
04/20/2018
Last updated
04/27/2018
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