Individual
ANNE V DALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 CUMBERLAND STREET, LEBANON, PA 17042-5232
(717) 274-2741
(717) 274-5405
Mailing address
200 N. 7TH STREET, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD053752L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017979500011
—
PA
Enumeration date
06/27/2005
Last updated
02/28/2012
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