Individual
DR. JULIE LORAINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59416
MN
390200000X
Student in an Organized Health Care Education/Training Program
44329
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
07/08/2014
Last updated
04/28/2022
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