Maximilian Costello
Maximilian Costello is a Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia. Licensed in Virginia. Registered with an NPI since 2026.
- Licensed in
- VA
- In the registry since
- 2026
Practice location Address checks out
306 Liberty View LnLynchburg, VA 24502-2291
Phone: (434) 592-7444
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (VA) |
|---|
Record details
| NPI number | 1588509004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 21, 2026 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 3463 Fort Ave Apt 106, Lynchburg, VA 24501-3828 |
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306 Liberty View Ln, Lynchburg, VA 24502-2291 · (434) 592-6400