Individual
DR. LAURINE L PITZER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
245 N MASON AVENUE, AMBOY, IL 61310
(815) 857-4705
(815) 857-3091
Mailing address
245 N MASON AVENUE, AMBOY, IL 61310
(815) 857-4705
(815) 857-3091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#5282007
BCBS OF IL
IL
Enumeration date
01/25/2007
Last updated
07/08/2007
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