Healthcare Provider Details

I. General information

NPI: 1578254413
Provider Name (Legal Business Name): JULIA LOUISE LASSWELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US FLEET FORCES COMMAND HEALTH SVCS 1562 MITSCHER AVE
NORFOLK VA
23551-1044
US

IV. Provider business mailing address

US FLEET FORCES COMMAND HEALTH SVCS 1562 MITSCHER AVE
NORFOLK VA
23551-0001
US

V. Phone/Fax

Practice location:
  • Phone: 757-836-3644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number77703
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: