Lull, Jordan Rebecca
Lull, Jordan Rebecca is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-2360. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Lull, Jordan Rebecca can be contacted via phone (434) 924-1761.Contact Information
Primary practice address
1215 Lee St
Charlottesville VA 22908-2360
Phone: (434) 924-1761
Fax: (434) 982-3561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101279397 | Virginia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD466837 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD466837 | Pennsylvania |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 0101279397 | Virginia |
Profile Details
NPI number | 1184086852 |
---|---|
LBN Legal business name | Lull, Jordan Rebecca |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2016 |
Last updated | Aug 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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