Individual
HANNAH LANE BOLLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY FL 1, JEFFERSON, LA 70121-2429
(504) 703-8844
Mailing address
1514 JEFFERSON HWY FL 1, JEFFERSON, LA 70121-2429
(504) 703-8844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA13071900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2023
Last updated
04/29/2026
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