DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAMILY MEDICINE OF LAKE RIDGE PC

Active Organization

FAMILY MEDICINE OF LAKE RIDGE PC is a Family Medicine organization located in WOODBRIDGE, Virginia. NPI 1417045816 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WOODBRIDGE, VA

Registration Details

NPI Number
1417045816
Provider Type
Organization
NPI Issued
Oct 11, 2006 (19.834783764315 yrs)
Last Updated
Aug 22, 2020
Licenses
0101039027 (VA)
0024057411 (VA)
0101040586 (VA)

Practice Information

Address
3401 COMMISSION CT
STE 201
WOODBRIDGE, VA, 22192
Browse VA providers · Browse ZIP 22192
Phone
7034906265
Fax
7034906713
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in WOODBRIDGE, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.