Individual
DR. NICOLAI LORENSON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7439 3RD STREET RD, LOUISVILLE, KY 40214-4366
(502) 618-3060
Mailing address
5622 SOUTHLAND BLVD, LOUISVILLE, KY 40214-1211
(502) 368-8568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4278
KY
111N00000X
Chiropractor
MC04424
NJ
Other
Enumeration date
07/29/2005
Last updated
12/09/2010
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