Healthcare Provider Details

I. General information

NPI: 1295640688
Provider Name (Legal Business Name): HEART OF LYNCHBURG MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 FORT AVE
LYNCHBURG VA
24501-3809
US

IV. Provider business mailing address

3105 FORT AVE
LYNCHBURG VA
24501-3809
US

V. Phone/Fax

Practice location:
  • Phone: 434-221-3981
  • Fax: 888-570-4640
Mailing address:
  • Phone: 434-221-3981
  • Fax: 888-570-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: SAVANNAH LAM
Title or Position: OWNER
Credential: CPM
Phone: 434-221-3981