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 1417053794

Alexandria Lake Ridge Pediatrics is a Pediatrics Physician 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
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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

Other providers in Woodbridge