Individual
MS. LACIE BETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
817 VOLVO PKWY, CHESAPEAKE, VA 23320-2855
(757) 668-4630
Mailing address
817 VOLVO PKWY, CHESAPEAKE, VA 23320-2855
(757) 668-4630
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024172027
VA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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