Individual
LAURA ARVILLA HALLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 SUMNER AVE, ABERDEEN, WA 98520-3606
(360) 538-0135
(360) 533-3475
Mailing address
PO BOX 1139, ABERDEEN, WA 98520-0228
(360) 538-0135
(360) 533-3475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57010092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126192
—
WA
01
—
MD60014640
MEDICAL LICENSE
WA
Enumeration date
05/17/2007
Last updated
03/07/2023
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