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Organization

LENITA HANSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ASTON HANSON (MANAGER)
(941) 629-3211
Entity
Organization

Contact information

Practice address
21216 OLEAN BLVD, SUITE 6, PORT CHARLOTTE, FL 33952-6722
(941) 629-3211
Mailing address
21216 OLEAN BLVD, SUITE 6, PORT CHARLOTTE, FL 33952-6722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67817
FL

Other

Enumeration date
06/01/2007
Last updated
10/23/2007
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