Individual
LESLEY ANN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-054233
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R2C19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013909589
—
MO
Enumeration date
08/19/2005
Last updated
03/10/2015
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