| Lmg Primary Care Center | |
|
46440 Benedict Drive, Suite 107 Sterling VA 20164-6602 | |
| (703) 450-1125 | |
| (703) 450-1145 |
| Full Name | Lmg Primary Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 46440 Benedict Drive, Suite 107, Sterling, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmg Primary Care Center 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Lmg Primary Care Center 46440 Benedict Drive, Suite 107 Sterling VA 20164-6602 Ph: (703) 450-1125 |
| NPI Number | 1508990110 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508990110 | NPI | - | NPPES |
| CG8678 | Other | VA | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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