Individual
LISA JEAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(913) 682-2000
Mailing address
5700 NW 81ST ST, KANSAS CITY, MO 64151-5110
(779) 537-9855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1576
KS
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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