Organization
LAWRENCE A HANSEN MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE A HANSEN M.D. (MEMBER)
(313) 382-0151
Entity
Organization
Contact information
Practice address
7445 ALLEN RD, SUITE 190, ALLEN PARK, MI 48101-1993
(313) 382-0151
(313) 382-2189
Mailing address
7445 ALLEN RD, SUITE 190, ALLEN PARK, MI 48101-1993
(313) 382-0151
(313) 382-2189
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407500
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0825978
BLUE CROSS
MI
Enumeration date
04/16/2007
Last updated
03/04/2008
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