Individual
MR. JOHN LUCAS HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
12233 W LONESOME TRL, PEORIA, AZ 85383-6501
(661) 728-7731
Mailing address
12233 W LONESOME TRL, PEORIA, AZ 85383-6501
(661) 728-7731
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1002763
TX
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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