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Individual

LAUREN WHITNEY HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-6185
Mailing address
91-1368 KAILEOLEA DR, EWA BEACH, HI 96706-6289
(808) 551-6128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/19/2020
Last updated
10/29/2021
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