IndividualActive
Jordan Lull, MD
NPI 1184086852 · Pediatric Critical Care Medicine Physician · Charlottesville, VA
Provider details
- NPI number
- 1184086852
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101279397 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1215 Lee St
Charlottesville, VA 22908-2360
Phone: (434) 924-1761
Fax: (434) 982-3561
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9007
Charlottesville, VA 22906-9007
Additional practice locations (1)
- 500 University DrHershey, PA 17033-2360Phone: (717) 531-5606Fax: (717) 531-0648
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.