Individual
DR. BRUCE LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
302 E 6TH ST, SUITE #3, LEXINGTON, NE 68850-2172
(308) 324-5551
Mailing address
PO BOX 626, LEXINGTON, NE 68850-0626
(308) 324-5551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4901
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05066
BLUE CROSS/ BLUE SHIELD
NE
05
—
47069568900
—
NE
Enumeration date
06/05/2006
Last updated
03/07/2023
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