Individual
LACI LEE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 SW MULVANE ST, SUITE 210, TOPEKA, KS 66606-1764
(785) 235-3451
Mailing address
1049 ROAD K, EMPORIA, KS 66801-7561
(620) 341-3086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-104736-062
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557382
KS
Other
Enumeration date
09/03/2015
Last updated
11/28/2018
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