Individual
HANNAH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4307
(318) 626-4300
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
331922
LA
Other
Enumeration date
04/22/2022
Last updated
09/17/2022
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