| Lansdowne Internal Medicine Llc | |
|
224d Cornwall St Nw Suite 302 Leesburg VA 20176-2700 | |
| (703) 737-7622 | |
| (703) 723-7242 |
| Full Name | Lansdowne Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 224d Cornwall St Nw, Leesburg, Virginia |
| Authorized Official Name and Position | Tina Ann Leach (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7037377622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansdowne Internal Medicine Llc 224d Cornwall St Nw Suite 302 Leesburg VA 20176-2700 Ph: (703) 737-7622 | Lansdowne Internal Medicine Llc 224d Cornwall St Nw Suite 302 Leesburg VA 20176-2700 Ph: (703) 737-7622 |
| NPI Number | 1720111685 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 02/22/2010 |
| Medicare PECOS PAC ID | 5496859159 |
|---|---|
| Medicare Enrollment ID | O20070406000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720111685 | NPI | - | NPPES |
| CK2977 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Han-jong Koh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619962263 PECOS PAC ID: 6901900661 Enrollment ID: I20110118000502 |
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