Organization
LANSDOWNE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA ANN LEACH (PRACTICE ADMINISTRATOR)
(703) 737-7622
Entity
Organization
Contact information
Practice address
224D CORNWALL ST NW, SUITE 302, LEESBURG, VA 20176-2700
(703) 737-7622
(703) 723-7242
Mailing address
224D CORNWALL ST NW, SUITE 302, LEESBURG, VA 20176-2700
(703) 737-7622
(703) 723-7242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2977
MEDICARE RAILROAD
—
Enumeration date
03/13/2007
Last updated
02/22/2010
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