Individual
LUCAS HANSEN
Active
Individual
LUCAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
0102207175
VA
2084P0800X
Psychiatry Physician
Primary
14148924-1204
UT
Other
Enumeration date
03/20/2017
Last updated
10/29/2024
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