Individual
LUKE DANIEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(719) 314-9774
Mailing address
6914 S VILLAGE BEND LN, MIDVALE, UT 84047-5686
(719) 314-9774
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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