Individual
LISA MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81 WINTHROP SHORE DR, WINTHROP, MA 02152-1249
(617) 827-8620
Mailing address
PO BOX 520093, WINTHROP, MA 02152-0002
(617) 827-8620
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
230532
MA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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