Individual
DR. RICKI-LEE HALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2730 VIA PALMA, LAKE HAVASU CITY, AZ 86406-7730
(928) 486-7527
Mailing address
PO BOX 3136, LAKE HAVASU CITY, AZ 86405-3136
(928) 486-7527
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1576
AZ
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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