Lacie Dawn Halls, PA-C
Physician Assistant, Surgical in Gahanna, OH. Individual provider (NPI-1).
NPI number1194126797
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1194126797
- Entity type
- Individual (NPI-1)
- Name
- Lacie Dawn Halls
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2014
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 50.004089 | OH | Yes |
Other names
- Lacie Dawn Baker (Former Name)
Practice location
605 Crescent PlGahanna, OH 43230-3086
Phone 614-545-7900 · Fax 614-545-7901
Mailing address
340 Polaris PkwyWesterville, OH 43082-7971
Phone 614-545-7900 · Fax 614-545-7901
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