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Organization

LAWRENCE A HANSEN MD PLC

Active
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Organization

LAWRENCE A HANSEN MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE A HANSEN M.D. (MEMBER)
(313) 382-0151
Entity
Organization

Contact information

Practice address
7445 ALLEN RD, SUITE 190, ALLEN PARK, MI 48101-1993
(313) 382-0151
(313) 382-2189
Mailing address
7445 ALLEN RD, SUITE 190, ALLEN PARK, MI 48101-1993
(313) 382-0151
(313) 382-2189

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407500
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0825978
BLUE CROSS
MI
Enumeration date
04/16/2007
Last updated
03/04/2008
About Stedi
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