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

Lake Ridge Anesthesia LLC

Organization Anesthesiology Physician · NPI 1558619254

Lake Ridge Anesthesia LLC is an Anesthesiology Physician in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12825 Minnieville Rd # 220
Woodbridge, VA 22192
Phone: (301) 829-7386
Fax: (301) 829-7694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101237760 (VA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 0101237760 (VA)

Record details

NPI number1558619254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Izadi — Owner · (301) 829-7683
NPI enumeratedAugust 28, 2012
Last updated in NPPESAugust 19, 2015
Mailing address1302 Rising Ridge Rd, 1, Mount Airy, MD 21771-5790

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