Alexandria Lake Ridge Pediatrics
NPI #1417053794 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1417053794
- Entity Type
- Organization
- Organization Name
- Alexandria Lake Ridge Pediatrics
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1990 OLD BRIDGE RD
- Address 2
- SUITE 101
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-2383
- Phone
- (703) 212-6600
Authorized Official
- Name
- MRS. DEBORAH WEESE
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (703) 212-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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