Individual
SARA LOUISE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 753-4193
(574) 732-1223
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002271
OH
363AM0700X
Medical Physician Assistant
100007700A
IN
Other
Enumeration date
08/09/2005
Last updated
01/07/2021
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