Individual
ELIZABETH LOUISE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
8202 EXCELSIOR DR, MADISON, WI 53717-1906
(608) 831-1766
Mailing address
1265 JOHN Q HAMMONS DR STE 200, MADISON, WI 53717-1962
(608) 828-4853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11569-146
WI
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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