Individual
LYNDA JO HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
652 64TH ST, SPRINGFIELD, OR 97478-7038
(541) 206-1827
Mailing address
652 64TH ST, SPRINGFIELD, OR 97478-7038
(541) 206-1827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
092003047LPN
OR
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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