| Lifestyle Physicians LLC | |
|
12330 Pinecrest Rd Ste 125 Reston VA 20191-1655 | |
| (540) 680-2426 | |
| Not Available |
| Full Name | Lifestyle Physicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 12330 Pinecrest Rd Ste 125, Reston, Virginia |
| Authorized Official Name and Position | Sagar Verma (MD) |
| Authorized Official Contact | 5408295773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Physicians LLC 147 Alexandria Pike Ste 104 Warrenton VA 20186-2947 Ph: (540) 680-2426 | Lifestyle Physicians LLC 12330 Pinecrest Rd Ste 125 Reston VA 20191-1655 Ph: (540) 680-2426 |
| NPI Number | 1881228021 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881228021 | NPI | - | NPPES |
| 0101253031 | Other | VA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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