LOUDOUN MEDICAL GROUP PC NPI 1205355906

NPI Information

NPI: 1205355906
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: LMG CORNWALL URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA
ZIP 20176
Phone: (571) 707-2085
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LOUDOUN MEDICAL GROUP, PC is an urgent care clinic center in Leesburg, VA. LOUDOUN MEDICAL GROUP, PC NPI is 1205355906. The provider is registered as an organization entity type.
The provider Is Doing Business As Lmg Cornwall Urgent Care.

The provider's business location address is:

211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA
ZIP 20176-115
Phone: (571) 707-2085
Fax: (571) 291-9196

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The CLIA number assigned to this NPI record is 49D2233307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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