Individual
DR. LOUIS W. HANSROTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N 17TH ST, SUITE 309, ALLENTOWN, PA 18104-5034
(610) 437-6687
(610) 437-5232
Mailing address
401 N 17TH ST, SUITE 309, ALLENTOWN, PA 18104-5034
(610) 437-6687
(610) 437-5232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD044074-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012494190001
—
PA
Enumeration date
12/29/2005
Last updated
10/06/2010
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