Individual
MRS. HEIDI JOY LAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Mailing address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024176874
VA
Other
Enumeration date
12/06/2018
Last updated
05/15/2025
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