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ALEXANDRIA LAKE RIDGE PEDIATRICS NPI 1649215955


NPI Information

NPI: 1649215955
Provider Name: ALEXANDRIA LAKE RIDGE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA
ZIP 22311
Phone: (703) 436-1200
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ALEXANDRIA LAKE RIDGE PEDIATRICS is a pediatrics in Alexandria, VA. The provider is a pediatrician 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. ALEXANDRIA LAKE RIDGE PEDIATRICS NPI is 1649215955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA
ZIP 22311-700
Phone: (703) 436-1200
Fax: (703) 499-9670

The provider's authorized official is Karen Hoffer .
The authorized official title is Clinical Administrtor and has the following contact phone number (703) 436-1200.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 4/14/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics101038289VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16721001MEDICAIDVIRGINIA
26738206MEDICAIDVIRGINIA
3010077036MEDICAIDVIRGINIA
46737935MEDICAIDVIRGINIA
56738214MEDICAIDVIRGINIA
66704999MEDICAIDVIRGINIA
76719694MEDICAIDVIRGINIA
86733816MEDICAIDVIRGINIA
96792896MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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