Tyrell Lancelot Gardner, MD is a student in an organized health care education training program in Richmond, VA. The provider is 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. Tyrell Lancelot Gardner, MD NPI is 1083105050. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1250 E MARSHALL ST # 980135
RICHMOND, VA
ZIP 23298-051
Phone: (804) 828-2755
The NPI 1083105050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.