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Individual

DR. LUKE HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054-1149
(856) 482-9000
Mailing address
2250 CHAPEL AVE W, CHERRY HILL, NJ 08002-2051

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25BM10446600
NJ
283Q00000X
Psychiatric Hospital

Other

Enumeration date
06/06/2016
Last updated
06/24/2019
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