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

Woodlake Village Pediatrics LLC

Organization Specialist · NPI 1578681946

Woodlake Village Pediatrics LLC is a Specialist in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
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

14732 Village Square Pl
Midlothian, VA 23112-2253
Phone: (804) 639-0717
Fax: (804) 639-0767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101056329 (VA)

Record details

NPI number1578681946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Clark — Owner · (804) 639-0717
NPI enumeratedMarch 26, 2007
Last updated in NPPESMay 22, 2008
Mailing address14732 Village Square Place, Midlothian, VA 23112-2253

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