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Organization

ALEXANDRIA LAKE RIDGE PEDIATRICS

Active
Other names
ALL Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORAH WEESE (PRACTICE ADMINISTRATOR)
(703) 212-6600
Entity
Organization

Contact information

Practice address
1500 N BEAUREGARD ST, SUITE 200, ALEXANDRIA, VA 22311-1723
(703) 212-6600
(703) 931-0961
Mailing address
1500 N BEAUREGARD ST, SUITE 200, ALEXANDRIA, VA 22311-1723
(703) 212-6600
(703) 931-0961

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/11/2006
Last updated
02/03/2011
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