Individual
REBECCA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4000
Mailing address
101 SAILVIEW DR, FOREST, VA 24551-1843
(540) 623-3459
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11127680
VA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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