Individual
LAUREN E HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)(CT)(MR)(ARRT)
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-3321
Mailing address
1015 52ND ST, KENOSHA, WI 53140-3429
(815) 274-4505
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
485780
MN
2471C3402X
Radiography Radiologic Technologist
485780
MN
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
485780
MN
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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