OrganizationActive
Alexandria Lake Ridge Pediatrics
NPI 1316182116 · Pediatrics Physician · Lorton, VA
Provider details
- NPI number
- 1316182116
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Farber, Treasurer(703) 212-6600
- License
- 0101038289 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9010 Lorton Station Blvd
Suite 100
Lorton, VA 22079
Phone: (703) 212-6600
Fax: (703) 931-0961
Approximate (ZIP-level) locationGet directions
Mailing address
1707 Osage St
Alexandria, VA 22302-2607
Registry dates
- Enumerated
- 2008-12-08
- Last updated
- 2008-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.