Hall, Lisa J

Hall, Lisa J is an individual health care provider with primary practice located at 1950 Glenn Mitchell Suite 102, Virginia Beach VA 23456-0019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hall, Lisa J can be contacted via phone (757) 368-0437.

Contact Information

Primary practice address
1950 Glenn Mitchell Suite 102 Virginia Beach VA 23456-0019
Phone: (757) 368-0437
Fax: (757) 368-0492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0101029566 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002089 Virginia

Profile Details

NPI number 1356349047
LBN Legal business name Hall, Lisa J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356349047 NPPES
Virginia Other 10019259P OPTIMA

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