Individual
DR. VICKI LORRAINE DULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 LACY B KING WAY, STAUNTON, VA 24401-4594
(540) 886-5777
(540) 886-5776
Mailing address
102 LACY B KING WAY, STAUNTON, VA 24401-4594
(540) 886-5777
(540) 886-5776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28742
KY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
28742
KY
207Q00000X
Family Medicine Physician
Primary
0101243458
VA
207Q00000X
Family Medicine Physician
28742
KY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
28742
KY
208D00000X
General Practice Physician
28742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487799342
—
VA
Enumeration date
02/20/2007
Last updated
07/16/2015
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