Individual provider · Type 1 NPI
Lacie Dawn Halls, PA-C
Surgical Physician Assistant · Gahanna, OH
NPI number
1194126797
Active
Practice location
605 Crescent Pl
Gahanna, OH 43230-3086
Fax (614) 545-7901
Mailing address
340 Polaris Pkwy
Westerville, OH 43082-7971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 50.004089 (OH) |
Surgical Physician Assistant: Definition to come...
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About NPI 1194126797
Lacie Dawn Halls, PA-C's National Provider Identifier is 1194126797, issued on Sep 15, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gahanna, OH. The record was last updated on Jan 9, 2025.