Individual
LAWRENCE E HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 SOMERSET ST, MILLINOCKET, ME 04462-1258
(207) 723-5161
Mailing address
112 MORGAN LN, MILLINOCKET, ME 04462-1712
(814) 558-9972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN346971L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA83366
ME
Other
Enumeration date
02/13/2006
Last updated
02/03/2022
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