Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
LMG Infusion Center- DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 450, LEESBURG, VA 20176-3467
(703) 656-9805
(703) 729-6576
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
10/22/2018
Last updated
10/21/2024
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