Provider Demographics
NPI:1346606845
Name:BROWN, JULIE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 RIVERMONT AVE.
Mailing Address - Street 2:VIRGINIA BAPTIST HOSPITAL,
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503
Mailing Address - Country:US
Mailing Address - Phone:434-200-5457
Mailing Address - Fax:
Practice Address - Street 1:3300 RIVERMONT AVE.
Practice Address - Street 2:VIRGINIA BAPTIST HOSPITAL,
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503
Practice Address - Country:US
Practice Address - Phone:434-200-5457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-77166163WL0100X
VA0001179909163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant