Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alexandria Lake Ridge Pediatrics

Organization Pediatrics Physician · NPI 1194960252

Alexandria Lake Ridge Pediatrics provides Pediatrics Physician services in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

1500 N Beauregard St Ste 200
Alexandria, VA 22311-1723 Not confirmed with CMS for 17 years — call before visiting
Phone: (703) 212-6600
Fax: (703) 931-0961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101038289 (VA)

Record details

NPI number1194960252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Farber — Treasurer · (703) 212-6600
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address1707 Osage St, Suite 104, Alexandria, VA 22302-2607

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