Individual
LEA RHEA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
(812) 235-8496
(812) 478-1540
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3584
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001307A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541947
ANTHEM PIN
IN
05
—
200370000
—
IN
Enumeration date
04/09/2007
Last updated
04/08/2013
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