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Individual
LORRAINE JOANNE HALL
Active
Individual
LORRAINE JOANNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06830
TX
363AS0400X
Surgical Physician Assistant
PA06830
TX
363AS0400X
Surgical Physician Assistant
PATEMP
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881994036
TRICARE
TX
05
—
218989602
—
TX
01
—
847N32
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/21/2010
Last updated
01/30/2013
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