Individual
JAMIE LEA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
64589
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
03/11/2021
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