Individual
LACIE DAWN HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 CRESCENT PL, GAHANNA, OH 43230-3086
(614) 545-7900
(614) 545-7901
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.004089
OH
Other
Enumeration date
09/15/2014
Last updated
01/09/2025
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