Alexandria Lake Ridge Pediatrics

LBN: Alexandria Lake Ridge Pediatrics
Alexandria Lake Ridge Pediatrics is an health care organization with primary practice located at 1500 N Beauregard St Ste 200 , Alexandria VA 22311-1700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Alexandria Lake Ridge Pediatrics can be contacted via phone (703) 436-1200, or through Hoffer, Karen via phone (703) 436-1200.

Contact Information

Primary practice address
1500 N Beauregard St Ste 200 Alexandria VA 22311-1700
Phone: (703) 436-1200
Fax: (703) 499-9670
Website:
Map and Directions
Authorized official contact:
Name: Hoffer, Karen
Phone: (703) 436-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 101038289 Virginia

Profile Details

NPI number 1649215955
LBN Legal business name Alexandria Lake Ridge Pediatrics
DBA Doing business as
Authorized official Hoffer, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649215955 NPPES
Virginia MEDICAID 6721001
Virginia MEDICAID 6719694
Virginia MEDICAID 6733816
Virginia MEDICAID 6792896
Virginia MEDICAID 6738214
Virginia MEDICAID 6704999
Virginia MEDICAID 010077036
Virginia MEDICAID 6738206
Virginia MEDICAID 6737935

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