MEDICARE: LISA MORRIS HALL LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	SW012830L	PA

General Provider Information

NPI Number	:	1699512616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MORRIS HALL LSW

Provider Business Mailing Address
First Line	:	2972 WOODSHEAD TER
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-9751
Country	:	US
Telephone Number	:	717-515-7264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2972 WOODSHEAD TER
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-9751
Country	:	US
Telephone Number	:	717-515-7264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	07/20/2024

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