Lazo, Amanda Brannan

Lazo, Amanda Brannan is an sole proprietor health care provider with primary practice located at 895 Rio East Ct , Charlottesville VA 22901-8004. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Lazo, Amanda Brannan can be contacted via phone (434) 817-5437.

Contact Information

Primary practice address
895 Rio East Ct Charlottesville VA 22901-8004
Phone: (434) 817-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Nebraska
Dental Providers / General Practice 1223G0001X 0401415059 Virginia

Profile Details

NPI number 1073873162
LBN Legal business name Lazo, Amanda Brannan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2012
Last updated Jun 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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