Individual
LANI S HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7240 MACKENZIE LN, PORTAGE, MI 49024-4414
(269) 321-9098
Mailing address
7240 MACKENZIE LN, PORTAGE, MI 49024-4414
(269) 321-9098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704235648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466882110
—
MI
Enumeration date
06/12/2006
Last updated
02/13/2014
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