Individual
LARA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 N 10TH ST, HAMILTON, MT 59840-2357
(406) 532-9140
Mailing address
209 N 10TH ST STE A, HAMILTON, MT 59840-2357
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
NUR-RN-LIC-145661
MT
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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