Alexandria Lake Ridge Pediatrics

NPI #1649215955 in Alexandria, Virginia

Provider Information

NPI Number: 1649215955
Entity Type: Organization
Organization Name: Alexandria Lake Ridge Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 19, 2006
Last Updated: Apr 14, 2022

Practice Location

Address: 1500 N BEAUREGARD ST STE 200
City: Alexandria
State: Virginia
ZIP Code: 22311-1700
Phone: (703) 436-1200

Authorized Official

Name: KAREN HOFFER
Title: CLINICAL ADMINISTRTOR
Phone: (703) 436-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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