Individual
GABRIELLE ANN LANZETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
844 KEMPSVILLE RD STE 104, NORFOLK, VA 23502-3927
(757) 252-5600
(757) 226-0157
Mailing address
844 KEMPSVILLE RD STE 104, NORFOLK, VA 23502-3927
(757) 252-5600
(757) 226-0157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004929
VA
363A00000X
Physician Assistant
013679-1
NY
363AM0700X
Medical Physician Assistant
0110004929
VA
Other
Enumeration date
11/12/2009
Last updated
03/14/2024
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