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Individual

LUANNE YANG HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101253861
VA
208000000X
Pediatrics Physician
Primary
ME124105
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116022415
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015658300
FL
Enumeration date
06/09/2010
Last updated
12/09/2015
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