JORDAN REBECCA LULL

CHARLOTTESVILLE, VA
NPI1184086852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: VA  0101279397)
Additional Taxonomies207L00000X Anesthesiology
(Licence: VA  0101279397)
208000000X Pediatrics
(Licence: PA  MD466837)
208M00000X Hospitalist
(Licence: PA  MD466837)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-22
Last Update Date2023-08-21
Business Address
JORDAN REBECCA LULL MD
1215 LEE ST
CHARLOTTESVILLE, VA 22908-2360
Phone number: 434-924-1761
Mailing Address
JORDAN REBECCA LULL MD
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000