Individual
SUZETTE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S MAIN, LAMAR, CO 81052
(719) 336-8721
(719) 336-9763
Mailing address
2720 WOODLAND DRIVE, LAMAR, CO 81052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60227
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07602279
—
CO
Enumeration date
03/01/2007
Last updated
07/08/2007
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