Individual
LINDSAY KEITH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 W INDIAN AVE, BREWSTER, WA 98812
(509) 689-2525
(509) 689-3247
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 689-2525
(509) 689-3247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118744
—
WA
01
—
171641
L&I
—
01
—
HA2166
REGENCE
—
Enumeration date
03/20/2006
Last updated
07/16/2013
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