Patient First - Lake Ridge | |
2199 Old Bridge Rd Lake Ridge VA 22192-2911 | |
(703) 357-9707 | |
(703) 357-9708 |
Full Name | Patient First - Lake Ridge |
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Speciality | Clinic/Center |
Location | 2199 Old Bridge Rd, Lake Ridge, Virginia |
Authorized Official Name and Position | George H. Morison (PRESIDENT) |
Authorized Official Contact | 8049685700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patient First - Lake Ridge 5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 968-5700 | Patient First - Lake Ridge 2199 Old Bridge Rd Lake Ridge VA 22192-2911 Ph: (703) 357-9707 |
NPI Number | 1902147374 |
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Provider Enumeration Date | 03/11/2013 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 0143132688 |
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Medicare Enrollment ID | O20130919000163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902147374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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