Individual
DR. LYNN A HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1210 OAKLEY AVE, BURLEY, ID 83318-1840
(208) 878-2273
(208) 878-2275
Mailing address
1210 OAKLEY AVE, BURLEY, ID 83318-1840
(208) 878-2273
(208) 878-2275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA936
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027304
PEGENCE BLUE S
ID
01
—
C1450
BLUE CROSS
ID
Enumeration date
12/27/2005
Last updated
03/04/2008
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