NPI 1336816818

Loudoun Medical Group, PC

Organisation Podiatrist Leesburg, VA

Practice location

Address: 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176-6821
Phone: (703) 737-6001
Mailing address: 224d Cornwall St NW STE 403, Leesburg, VA 20176-2704

Authorised official

Name: Mary Beth Tamasy
Title: Ceo
Phone: (703) 737-6001

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Virginia →

Registry record

NPI: 1336816818
Entity type: Organization
NPI issued: 24 Aug 2021
Record last updated: 8 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.