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Individual

DR. CHARLES WILLIAM HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 WOLF CIR, LAKE CHARLES, LA 70605-2348
(337) 905-7100
Mailing address
3302 W HOUSTON RIVER RD, SULPHUR, LA 70663-0534

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
348730
LA

Other

Enumeration date
03/18/2019
Last updated
09/23/2025
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