Healthcare Provider Details

I. General information

NPI: 1639355357
Provider Name (Legal Business Name): ORCHARD FAMILY MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 W JUBAL EARLY DR SUITE 240
WINCHESTER VA
22601-6319
US

IV. Provider business mailing address

440 W JUBAL EARLY DR SUITE 240
WINCHESTER VA
22601-6319
US

V. Phone/Fax

Practice location:
  • Phone: 540-450-2706
  • Fax:
Mailing address:
  • Phone: 540-450-2706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number0800009496
License Number StateVA

VIII. Authorized Official

Name: DR. LINDA LE LUONG
Title or Position: PRESIDENT
Credential: MD
Phone: 540-450-2706