Individual
LOIS P HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006120
VA
363AM0700X
Medical Physician Assistant
319
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194796508
—
VA
Enumeration date
02/01/2006
Last updated
03/12/2018
Update your record
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