FAMILY MEDICINE OF LAKE RIDGE PC NPI 1417045816

NPI Information

FAMILY MEDICINE OF LAKE RIDGE PC is a family medicine in Woodbridge, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE OF LAKE RIDGE PC NPI is 1417045816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Family Medicine Of Lake Ridge.

The provider's business location address is:

3401 COMMISSION CT
STE 201
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 490-6265
Fax: (703) 490-6713

The provider's authorized official is Gerry A Cope .
The authorized official title is Physician and has the following contact phone number (703) 490-6265.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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