| Loudoun Family Medicine Llc | |
|
19415 Deerfield Ave Suite 103 Lansdowne VA 20176-8452 | |
| (703) 858-4900 | |
| Not Available |
| Full Name | Loudoun Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 19415 Deerfield Ave, Lansdowne, Virginia |
| Authorized Official Name and Position | Malarmathi T Anbarasan (PRESIDENT) |
| Authorized Official Contact | 7033427790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Family Medicine Llc 20969 Great Woods Dr Leesburg VA 20175-8776 Ph: (703) 342-7790 | Loudoun Family Medicine Llc 19415 Deerfield Ave Suite 103 Lansdowne VA 20176-8452 Ph: (703) 858-4900 |
| NPI Number | 1285048546 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285048546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101233048 (Virginia) | Primary |
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