Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amanda Brannan Lazo, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073873162

Dr. Amanda Brannan Lazo, DDS is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Nebraska and Virginia.

Licensed in
NE, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

895 Rio East Ct
Charlottesville, VA 22901-8004
Phone: (434) 817-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401415059 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NE)

Record details

NPI number1073873162
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 22, 2012
Last updated in NPPESJune 9, 2016

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