Individual
MRS. LOLITA R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
126 W FALLS RD, GRAFTON, WI 53024-2508
(262) 665-7940
Mailing address
126 W FALLS RD, GRAFTON, WI 53024-2508
(262) 665-7940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14210-33
WI
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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