| Mediluxe | |
|
19349 Diamond Lake Dr Leesburg VA 20176-6596 | |
| (571) 283-1124 | |
| Not Available |
| Full Name | Mediluxe |
|---|---|
| Speciality | Clinic/center |
| Location | 19349 Diamond Lake Dr, Leesburg, Virginia |
| Authorized Official Name and Position | Jacquelyn Katz (LEAD PROVIDER/OWNER) |
| Authorized Official Contact | 5555555555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediluxe 19349 Diamond Lake Dr Leesburg VA 20176-6596 Ph: (555) 555-5555 | Mediluxe 19349 Diamond Lake Dr Leesburg VA 20176-6596 Ph: (571) 283-1124 |
| NPI Number | 1053952846 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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