Individual provider · Type 1 NPI

Jordan Rebecca Lull, MD

Pediatric Critical Care Medicine Physician · Charlottesville, VA

NPI number 1184086852 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-2360

Call (434) 924-1761 Map

Fax (434) 982-3561

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice locations

  • 500 University Dr, Hershey, PA 17033-2360 · (717) 531-5606

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X0101279397 (VA)
Pediatrics Physician 208000000XMD466837 (PA)
Hospitalist Physician 208M00000XMD466837 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Critical Care Medicine Physician Primary 2080P0203X0101279397 (VA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1184086852

Jordan Rebecca Lull, MD's National Provider Identifier is 1184086852, issued on Mar 22, 2016. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 21, 2023.