Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandria Lake Ridge Pediatrics

Organization Pediatrics Physician · NPI 1194960252

Alexandria Lake Ridge Pediatrics is a Pediatrics Physician 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
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

Other providers in Alexandria