Individual
DR. LISA MA HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4200 DODGE ST, DUBUQUE, IA 52003-2624
(563) 582-3458
Mailing address
2920 KRISTEN CT, DUBUQUE, IA 52001-9010
(563) 582-3173
(563) 582-3558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010
IA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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