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Organization

LOUDOUN MEDICAL GROUP, PC

Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
LMG Speech Therapy
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 110, LEESBURG, VA 20176-3689
(571) 707-2067
(571) 209-1870
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-3346
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/25/2020
Last updated
04/24/2023
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