MEDICARE: LINDSEY HALL MD

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	207N00000X	Dermatology Physician	MD.206178	LA

General Provider Information

NPI Number	:	1790003432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY HALL MD

Provider Business Mailing Address
First Line	:	5326 ODONOVAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4691
Country	:	US
Telephone Number	:	225-769-7546
Fax Number	:	225-769-0471

Provider Business Practice Location Address
First Line	:	5326 ODONOVAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4691
Country	:	US
Telephone Number	:	225-769-7546
Fax Number	:	225-769-0471

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

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	09/14/2016

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Directions to “ LINDSEY HALL MD” Practice Location

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