Lake Ridge Ophthalmology LLC
NPI #1700142114 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1700142114
- Entity Type
- Organization
- Organization Name
- Lake Ridge Ophthalmology LLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Apr 10, 2012
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 1920 OPITZ BLVD
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3304
- Phone
- (703) 494-1388
Authorized Official
- Name
- NORMA LIZETTE ZAPATA DE PEREZ, MD
- Title
- OWNER
- Phone
- (703) 494-1388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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