Lloyd Reed Hall III, IDC

Individual provider Active NPI Independent Duty Corpsman · Colonial Beach, VA

NPI 1720437247 · NPPES record last updated Jun 6, 2016

Key facts

NPI
1720437247
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
1814 James Monroe Highway
Colonial Beach, VA 22443
Phone
(540) 841-4559
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

1814 James Monroe Highway
Colonial Beach, VA 22443

Mailing address

1814 James Monroe Highway
Colonial Beach, VA 22443
Phone (540) 841-4559

Other providers in Colonial Beach, VA

All providers in Colonial Beach, VA · Independent Duty Corpsman in Virginia

Sources for this page

Verify at the official NPI Registry.