Individual
LAMONT ANDRELL TAZEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 BROOKSIDE CT, VIRGINIA BEACH, VA 23452-2115
(948) 231-9020
Mailing address
605 BROOKSIDE CT, VIRGINIA BEACH, VA 23452-2115
(948) 231-9020
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
VA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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