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1528143385
LLFAGANMD LLC
RESTON, VA
NPI
1528143385
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Entity Type
Organization
Authorized Contact
LYNNE LILLIAN FAGAN
Manager
301-801-5886
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center Medical Specialty
Enumeration Date
2006-10-27
Last Update Date
2018-03-24
Business Address
LLFAGANMD LLC
1800 TOWN CENTER DR SUITE 212
RESTON, VA 20190
Phone number: 703-435-2227
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Mailing Address
LLFAGANMD LLC
4108 MARYLAND AVE
BETHESDA, MD 20816-2665
Phone number: 301-801-5886
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