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 1417053794

Alexandria Lake Ridge Pediatrics provides Pediatrics Physician services in Woodbridge, Virginia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1990 Old Bridge Rd Ste 101
Woodbridge, VA 22192-2383
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

Record details

NPI number1417053794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Weese — Practice Administrator · (703) 212-6600
Other names Lake Ridge Office
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1313

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