Alexandria Lake Ridge Pediatrics
Pediatrics
Alexandria Lake Ridge Pediatrics is a Alexandria, Virginia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1500 N Beauregard St Ste 200, Alexandria, Virginia - 22311-1700. They can be contacted on phone at
703-436-1200 and fax number 703-499-9670.
NPI number (Unique professional ID) for Alexandria Lake Ridge Pediatrics is
1649215955 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 14 Apr, 2022.
Alexandria Lake Ridge Pediatrics license number is
101038289 for Pediatrics (208000000X) in Virginia.
Alexandria Lake Ridge Pediatrics is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Alexandria Lake Ridge Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Alexandria Lake Ridge Pediatrics |
|---|
Business Address:
Alexandria Lake Ridge Pediatrics address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1500 N Beauregard St Ste 200
Alexandria, VA, 22311-1700
United States |
|---|
| Phone Number : | 703-436-1200 |
|---|
| Fax Number : | 703-499-9670 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649215955 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 19 Jun, 2006 |
|---|
| Last Updated On : | 14 Apr, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Karen Hoffer |
|---|
| Official Title or Position : | CLINICAL ADMINISTRTOR |
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| Phone Number : | 703-436-1200 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexandria Lake Ridge Pediatrics are as mentioned. Primary taxonomy code for Alexandria Lake Ridge Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 101038289 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Alexandria Lake Ridge Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6721001 | MEDICAID | VA | |
| 6738206 | MEDICAID | VA | |
| 010077036 | MEDICAID | VA | |
| 6738214 | MEDICAID | VA | |
| 6737935 | MEDICAID | VA | |
| 6704999 | MEDICAID | VA | |
| 6719694 | MEDICAID | VA | |
| 6733816 | MEDICAID | VA | |
| 6792896 | MEDICAID | VA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
4500 POND WAY STE 220,
WOODBRIDGE, VA, 22192-7825
United States | WOODBRIDGE, VA | 703-436-1200 |
9010 LORTON STATION BLVD STE 100,
LORTON, VA, 22079-4796
United States | LORTON, VA | 703-436-1200 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1500 N Beauregard St Ste 200
Alexandria, VA, 22311-1700
United States |
|---|
| Phone Number : | 703-436-1200 |
|---|
| Fax Number : | 703-499-9670 |
|---|
Business Location:
Patients can refer following map for directions to
Alexandria Lake Ridge Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.