ALEXANDRIA LAKE RIDGE PEDIATRICS

ALEXANDRIA, VA
NPI1194960252
Entity TypeOrganization
Authorized ContactJON M FARBER
Treasurer
703-212-6600
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: VA  0101038289)
Enumeration Date2008-12-03
Last Update Date2008-12-03
Business Address
ALEXANDRIA LAKE RIDGE PEDIATRICS
1500 N BEAUREGARD ST SUITE 200
ALEXANDRIA, VA 22311-1723
Phone number: 703-212-6600
Mailing Address
ALEXANDRIA LAKE RIDGE PEDIATRICS
1707 OSAGE ST SUITE 104
ALEXANDRIA, VA 22302-2607
Phone number: 703-212-6600
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