DR. AMANDA BRANNAN LAZO (NPI# 1073873162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073873162 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BRANNAN LAZO |
| Credential | DDS |
| Practice Address |
895 Rio East Ct Charlottesville VA 22901-8004 |
| Mailing Address |
2536 W Simms Blvd Tampa FL 33609-5313 |
| Practice Telephone | 4348175437 |
| Mailing Telephone | 8135469810 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401415059 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NE | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427694645 | Amanda Lazo | Occupational Therapist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-11-22 |
| 1972991958 | Amanda Grace Lazo | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2014-12-29 |
| Street Address |
895 RIO EAST CT |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613800 | Julia Anne Guerrier | Dentist | 895 Rio East Ct, Charlottesville, VA 22901-8004 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669821039 | Erika Dos Santos | Dentist | 2250 Old Ivy Rd Ste 3, Charlottesville, VA 22903-4820 | 2016-06-07 |
| 1003283342 | Tore D Steinberg Dds PC | Dentist | 905 Rio East Ct, Suite A, Charlottesville, VA 22901-8040 | 2015-08-21 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1134411010 | Kenneth Gary Rasmussen | Dentist | 1752 Timberwood Blvd, Charlottesville, VA 22911-7593 | 2011-05-10 |
| 1871811208 | Hugh Teller, Dds, PC | Dentist | 2202 N Berkshire Rd Ste 202, Charlottesville, VA 22901-2761 | 2010-05-10 |
| 1386887867 | Andrew William Glassick | Dentist | 2202 N Berkshire Rd Ste 101, Charlottesville, VA 22901-2761 | 2009-04-13 |
| 1235383779 | David Deemer Swett | Dentist | 900b Rio East Ct, Charlottesville, VA 22901-8040 | 2008-11-11 |
| 1558525493 | Hugh Teller | Dentist | 2202 N. Berkshire Rd. Suite 202, Charlottesville, VA 22901-2761 | 2008-07-10 |
| 1396929329 | Ellis Trice Taylor | Dentist | 408 East Market Street, Suite 106, Charlottesville, VA 22902-5261 | 2007-12-27 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on DR. AMANDA BRANNAN LAZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.