MEDICARE: DR. LOREN L. FRIEDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	0101046772	VA
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	0101046772	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952338469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOREN L. FRIEDMAN MD

Provider Business Mailing Address
First Line	:	3040 WILLIAMS DR
Second Line	:	SUITE 100
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4618
Country	:	US
Telephone Number	:	703-208-3963
Fax Number	:	703-205-6284

Provider Business Practice Location Address
First Line	:	8503 ARLINGTON BLVD STE 400
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4629
Country	:	US
Telephone Number	:	703-280-5390
Fax Number	:	703-280-9596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	11/09/2020

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Directions to “ DR. LOREN L. FRIEDMAN MD” Practice Location

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