Individual
MARISSA GRACE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5404
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211753
OK
Other
Enumeration date
12/10/2020
Last updated
06/20/2023
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