Individual
LESLIE R HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6679 EDWARDSVILLE CROSSING DRIVE, EDWARDSVILLE, IL 62025
(618) 659-2878
(618) 659-2921
Mailing address
255 WINCHESTER PLACE, FAAIRVIEW HEIGHTS, IL 62208
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2915
IL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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