Organization · Type 2 NPI
Leesburg Medical Clinic, PLLC
Primary Care Clinic/Center · Ashburn, VA
NPI number
1104198001
Active
Practice location
44121 Harry Byrd Hwy Ste 225
Ashburn, VA 20147-5672
Fax (800) 609-0775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0024169591 (VA) |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1104198001
Leesburg Medical Clinic, PLLC's National Provider Identifier is 1104198001, issued on Feb 8, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ashburn, VA. The record was last updated on Jun 16, 2018.