| Doctor Name: | LASHAUNA HALL |
| NPI Number: | 1083073696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | COA.18773-NP |
| Business Practice Address: | 3533 Southern Blvd Suite 5350 Kettering, OH - 454291264 |
| Business Phone Number: | 9376439299 |
| Business Fax Number: | 9376432343 |
| Mailing Address: | 3533 Southern Blvd, Suite 5350 KETTERING |
| State: | OH |
| Postal Code: | 454291264 |
| Phone Number: | 9376439299 |
| Fax Number: | 9376432343 |
| NPI Enumeration Date: | 02/11/2016 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.18773-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |