Organization
TRILLIUM HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE M PAYNE CPM (LICENSED MIDWIFE)
(434) 384-9602
Entity
Organization
Contact information
Practice address
3105 FORT AVE, LYNCHBURG, VA 24501-3809
(434) 384-9602
(434) 384-9603
Mailing address
3105 FORT AVE, LYNCHBURG, VA 24501-3809
(434) 384-9602
(434) 384-9603
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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