Individual
MR. LUKE ROBERT HANSEN
Active
Individual
MR. LUKE ROBERT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY,D
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
00939
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058230
—
IA
01
—
05823
MEDICARE
IA
01
—
080381
HEALTH ALLIANCE
IA
01
—
240194
MIDLANDS CHOICE
IA
01
—
321119
VALUE OPTIONS
IA
01
—
IA0137
JOHN DEERE/UBH
IA
Enumeration date
02/16/2006
Last updated
10/10/2007
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