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Loudoun Medical Group, PC — NPI 1215646468, Reston, VA | NPI Central

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NPI 1215646468

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Loudoun Medical Group, PC

NPI 1215646468 · Oncology Clinic/Center · Reston, VA

Provider details

NPI number: 1215646468
Entity type: Organization
Primary specialty: Oncology Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Loudoun Medical Group, PC
Organization subpart: Yes
Authorized official: Mary Beth Tamasy, Ceo(703) 737-6010

Specialties & taxonomies

Oncology Clinic/CenterPrimary261QX0200X
Ambulatory Health Care Facilities

Practice location

1860 Town Center Drive, Suite 120

Reston, VA 20190-5898

Phone: (703) 656-9805

Fax: (703) 729-6576

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

224 D Cornwall Street Nw

Leesburg, VA 20176-2704

Other names (DBA / former)

Doing business as: Lmg Cancer Center

Registry dates

Enumerated: 2022-11-16
Last updated: 2022-11-16
Certified: 2022-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.