Individual
DR. LYMAN LANSING HALE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1414 CROSS ST STE 330, SHILOH, IL 62269-2988
(618) 277-7400
Mailing address
1414 CROSS ST STE 330, SHILOH, IL 62269-2988
(618) 277-7400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036139253
IL
208600000X
Surgery Physician
MT197334
PA
Other
Enumeration date
06/22/2010
Last updated
03/30/2023
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