Individual
TRICIA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 MAIN ST, COLORADO SPRINGS, CO 80911-1713
(719) 391-2000
Mailing address
608 N 24TH ST, COLORADO SPRINGS, CO 80904-2613
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-3769815
—
CO
Enumeration date
05/08/2015
Last updated
05/08/2015
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