Hall, Lisa C

Hall, Lisa C is an individual health care provider with primary practice located at 1400 S Joyce St Suite 126, Arlington VA 22202-1872. 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 C can be contacted via phone (703) 521-6662.

Contact Information

Primary practice address
1400 S Joyce St Suite 126 Arlington VA 22202-1872
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-002530 Virginia

Profile Details

NPI number 1174731574
LBN Legal business name Hall, Lisa C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Dec 1st, 2014 - about 10 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 1174731574 NPPES
Virginia MEDICAID 1174731574

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