LGN Weight Loss, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101252617 Issued in VA

Legal business name

LGN WEIGHT LOSS, LLC

Doing business as

LGN Weight Loss

Practice address

1114 E Main St Ste 6
Lebanon, VA 24266-5014

Phone

(276) 525-1800

NPI assigned

Apr 20, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Donna Thayer

Title

Manager

Phone

(276) 644-2009

Specialties & licenses 1

Addresses

Other names 1

• LGN Weight Loss Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1861989105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E MAIN ST STE 6",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665014",
            "telephone_number": "276-525-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGN WEIGHT LOSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "276-644-2009",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101252617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGN Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chao Te Lee, MD
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• Annette Leonard
• Joni Lester
• Karl C Lewis
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• Judith Easterly Lockridge, RPT
• Luke Stillwell Optometrist, P.C.
• Abbigael Martin McCoy, MS, CCC-SLP
• Kelsey Wise McCoy, PA

• Medical Specialty Clinic/Center in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.