Individual
TRACY A. LAZARONY-RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
995 HOSPITALITY WAY, ABERDEEN, MD 21001-1755
(410) 306-7880
(410) 306-7881
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002329
MD
Other
Enumeration date
03/21/2006
Last updated
02/17/2022
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