Individual
LISA C HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 S JOYCE ST, SUITE 126, ARLINGTON, VA 22202-1872
(703) 521-6662
Mailing address
PO BOX 468, BERWICK, PA 18603-0468
(610) 956-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-002530
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174731574
—
VA
Enumeration date
05/18/2007
Last updated
12/01/2014
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