Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME76371 | FL |
NPI | 1013332980 |
---|---|
Provider Name | Laurel Hallson |
First Address | Lauderdale By The Sea, FL 33308-4463 |
Second Address | Lauderdale By The Sea, FL 33308-4463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2014 |
Last Update Date | 28/02/2014 |