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LOUDOUN MEDICAL GROUP PC NPI 1679024418


NPI Information

NPI: 1679024418
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: LEESBURG STERLING FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2053758

Address:
20 TOWN SQUARE, SUITE 180
LOVETTSVILLE, VA
ZIP 20180
Phone: (540) 579-0500
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LOUDOUN MEDICAL GROUP, PC is a family medicine in Lovettsville, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOUDOUN MEDICAL GROUP, PC NPI is 1679024418. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leesburg Sterling Family Practice.

The provider's business location address is:

20 TOWN SQUARE, SUITE 180
LOVETTSVILLE, VA
ZIP 20180-558
Phone: (540) 579-0500
Fax: (540) 822-5036

The provider's authorized official is Mary Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6012.

The CLIA number assigned to this NPI record is 49D2053758 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 12/1/2023.


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
1207Q00000XFamily MedicineYes

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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