<unavail> in Lake Ridge, VA

is a primary clinic (Clinic/center) in Lake Ridge, Virginia. The current practice location for is 12825 Minnieville Road, Lake Ridge, Virginia. For appointments, you can reach them via phone at (703) 523-9800. The mailing address for is 12825 Minnieville Road, Lake Ridge, Virginia and phone number is (703) 523-9800.

is licensed to practice in Virginia (license number ) and its NPI number is 1366718215. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (703) 523-9800.

Contact Information


	12825 Minnieville Road Lake Ridge VA 22192-9998
	(703) 523-9800
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	12825 Minnieville Road, Lake Ridge, Virginia
Authorized Official Name and Position	Robert A Broermann (SVP/CFO)
Authorized Official Contact	7574557020
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
12825 Minnieville Road Lake Ridge VA 22192-9998 Ph: (703) 523-9800	12825 Minnieville Road Lake Ridge VA 22192-9998 Ph: (703) 523-9800

NPI Details:

NPI Number	1366718215
Provider Enumeration Date	03/26/2012
Last Update Date	03/26/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366718215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(Virginia)	Primary

Reviews and Comments

Clinic/Center in Lake Ridge, VA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192 Phone: 571-542-4950 Fax: 571-285-1160
Amy L Friedenthal Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12512 Lake Ridge Dr Ste D, Lake Ridge, VA 22192 Phone: 703-497-5555 Fax: 703-497-1479
Primary Gerontology Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4196 Merchant Plz Ste 348, Lake Ridge, VA 22192 Phone: 571-206-1650
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192 Phone: 703-780-2800 Fax: 844-700-6186
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 Fax: 703-357-9708

- Primary Care in Lake Ridge, VA