Provider Demographics
NPI:1689971491
Name:HALL, LOIS JEAN (BA CERTIFIED DOULA,)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:JEAN
Last Name:HALL
Suffix:
Gender:F
Credentials:BA CERTIFIED DOULA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13108 THOMASVILLE CIR APT H
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-9510
Mailing Address - Country:US
Mailing Address - Phone:813-562-6221
Mailing Address - Fax:
Practice Address - Street 1:13108 THOMASVILLE CIR APT H
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-9510
Practice Address - Country:US
Practice Address - Phone:813-562-6221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula