Individual
DR. LAURA F. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CLEAVER FARM ROAD, SUITE 201, MIDDLETOWN, DE 19709-1630
(302) 378-5100
(302) 378-5106
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10008675
DE
208000000X
Pediatrics Physician
MD019816E
PA
208D00000X
General Practice Physician
C10008675
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007781280011
—
PA
01
—
122124
HIGHMARK
PA
01
—
163798
THREE RIVERS MEDPLUS
PA
01
—
200373
UPMC FOR YOU
PA
01
—
4544416
AETNA MANAGED CHOICE
PA
01
—
468922
AETNA HMO
PA
01
—
P000696
GATEWAY
PA
Enumeration date
06/17/2005
Last updated
12/27/2011
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