Individual
LAXMISILPA GADIPARTHI HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5480 GOODMAN RD, SUITE 2, OLIVE BRANCH, MS 38654-7902
(662) 893-9885
(662) 893-9888
Mailing address
PO BOX 1000, DEPT # 978, MEMPHIS, TN 38148-0001
(901) 831-9494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23413
MS
Other
Enumeration date
06/03/2010
Last updated
08/29/2014
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