Individual
LUCY ELIZABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1234
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6804139-1205
UT
Other
Enumeration date
06/30/2008
Last updated
04/25/2022
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