Individual
DR. LOUIS DELYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
150 S STATE ST, OREM, UT 84058-5420
(801) 224-7246
(801) 225-7246
Mailing address
150 S STATE ST, OREM, UT 84058-5420
(801) 224-7246
(801) 225-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
165911-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52937861400001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
04/24/2007
Last updated
07/08/2007
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