ALEXANDRIA LAKE RIDGE PEDIATRICS

LORTON, VA
NPI1316182116
Entity TypeOrganization
Authorized ContactJON M FARBER
Treasurer
703-212-6600
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: VA  0101038289)
Enumeration Date2008-12-08
Last Update Date2008-12-08
Business Address
ALEXANDRIA LAKE RIDGE PEDIATRICS
9010 LORTON STATION BLVD SUITE 100
LORTON, VA 22079
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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