| Loudoun Medical Group, Pc | |
|
20 Town Square, Suite 180 Lovettsville VA 20180-8558 | |
| (540) 579-0500 | |
| (540) 822-5036 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Town Square, Suite 180, Lovettsville, Virginia |
| Authorized Official Name and Position | Mary Tamasy (CEO) |
| Authorized Official Contact | 7037376012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Medical Group, Pc 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 20 Town Square, Suite 180 Lovettsville VA 20180-8558 Ph: (540) 579-0500 |
| NPI Number | 1679024418 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679024418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Broad Way, Lovettsville, VA 20180 Phone: 540-579-0500 Fax: 540-822-5036 |