Healthcare Provider Details

I. General information

NPI: 1629909007
Provider Name (Legal Business Name): CELIA ELIZABETH DEL CID,LAZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 LOIS LN
NEWPORT NEWS VA
23608-2222
US

IV. Provider business mailing address

7 LOIS LN
NEWPORT NEWS VA
23608-2222
US

V. Phone/Fax

Practice location:
  • Phone: 757-940-8001
  • Fax:
Mailing address:
  • Phone: 757-940-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberA69631929
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: