Individual
MRS. KRISTEN HEBERT HANNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1905 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5203
(337) 990-8000
(337) 990-8010
Mailing address
10319 JEFFERSON HWY, BATON ROUGE, LA 70809-2730
(225) 214-9352
(225) 214-9349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
782
LA
Other
Enumeration date
09/07/2012
Last updated
08/14/2013
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