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49D2192355 CLIA NUMBER - LOUDOUN INTERNAL & LIFESTYLE MEDICINE LLC

Laboratory Demographics

CLIA Number: 49D2192355

Facility Name: LOUDOUN INTERNAL & LIFESTYLE MEDICINE LLC

Facility Address:
19450 DEERFIELD AVE SUITE 335
LEESBURG, VA
ZIP 20176
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Facility Phone Number: 571 600-1007

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1396386447

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 49D2192355
LAB Type Physician Office
Facility Name LOUDOUN INTERNAL & LIFESTYLE MEDICINE LLC
Street 19450 DEERFIELD AVE SUITE 335
City LEESBURG
State VA
ZIP 20176
Phone 571 600-1007
CertificateType 3
CertificateEffectiveDate 9/9/2022
CertificateExpirationDate 9/8/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024