Individual
LISA J. HANNER-ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1535 S. PIAZZA DRIVE, BLOOMINGTON, IN 47401-5578
(812) 334-2772
(812) 323-7347
Mailing address
1535 S. PIAZZA DRIVE, BLOOMINGTON, IN 47401-5578
(812) 334-2772
(812) 323-7347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01052568A
IN
208D00000X
General Practice Physician
Primary
01052568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200284000
—
IN
Enumeration date
06/16/2005
Last updated
05/23/2016
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