person
Tyrell Lancelot Gardner, MD
Student in an Organized Health Care Education/Training Program in Richmond, Virginia
NPI 1083105050

Tyrell Lancelot Gardner is a Student in an Organized Health Care Education/Training Program based in Richmond, VA. Tyrell Lancelot Gardner practices in Richmond, VA and has the professional credentials of MD. The NPI Number for Tyrell Lancelot Gardner is 1083105050 and holds a License No. (Virginia).

The current practice location address for Tyrell Lancelot Gardner is 1250 E Marshall St # 980135, Richmond, VA and can be reached out via phone at 804-828-2755.

Location: 1250 E Marshall St # 980135, Richmond, VA, 23298-5051
person
Provider Profile Details
NPI Number
1083105050
Provider Name
Tyrell Lancelot Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1250 E Marshall St # 980135, Richmond, VA, 23298-5051
Phone Number
804-828-2755
Fax Number
Provider Enumeration Date
05/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1250 E Marshall St # 980135
City
State
Zip
23298-5051
Phone Number
804-828-2755
Fax Number
person
Provider Business Mailing Address Details
Address
1250 E Marshall St # 980135
City
State
Zip
23298-5051
Phone Number
804-828-2755
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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