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Individual

DR. LUKE D HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7000
(360) 923-7089

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00044557
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
199381
WA L&I
01
6059HA
REGENCE BS
05
8431355
WA
01
8906874
WA CRIME
01
P00304749
RAILROAD
Enumeration date
06/09/2006
Last updated
09/07/2022
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