Individual
HALEY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8000
Mailing address
362 KELLS CT W, NEWARK, OH 43055-4045
(740) 407-3409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007893RX
OH
Other
Enumeration date
11/11/2015
Last updated
03/15/2023
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