Family Medicine of Lake Ridge PC
NPI #1417045816 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1417045816
- Entity Type
- Organization
- Organization Name
- Family Medicine of Lake Ridge PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3401 COMMISSION CT
- Address 2
- STE 201
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192
- Phone
- (703) 490-6265
Authorized Official
- Name
- DR. GERRY A COPE, MD
- Title
- PHYSICIAN
- Phone
- (703) 490-6265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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