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

Family Medicine of Lake Ridge PC

Organization Family Medicine Physician · NPI 1417045816

Family Medicine of Lake Ridge PC is a Family Medicine Physician in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3401 Commission Ct Ste 201
Woodbridge, VA 22192
Phone: (703) 490-6265
Fax: (703) 490-6713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101040586 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101039027 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0024057411 (VA)

Record details

NPI number1417045816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerry Cope — Physician · (703) 490-6265
Other names Family Medicine Of Lake Ridge
NPI enumeratedOctober 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3401 Commission Ct, Ste 201, Woodbridge, VA 22192

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