Provider Demographics
NPI:1275785644
Name:HALE, LULA BELL
Entity Type:Individual
Prefix:MISS
First Name:LULA
Middle Name:BELL
Last Name:HALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COMPREHENSIVE
Other - Middle Name:MEDICAL
Other - Last Name:EQUIPMENT AND SUPPLIES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:201 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-2699
Mailing Address - Country:US
Mailing Address - Phone:662-369-2555
Mailing Address - Fax:662-369-2845
Practice Address - Street 1:201 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-2699
Practice Address - Country:US
Practice Address - Phone:662-369-2555
Practice Address - Fax:662-369-2845
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies