Individual
JOHN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 OUTLET LN, SUITE 400, LOCK HAVEN, PA 17745-7815
(570) 769-1300
Mailing address
1201 GRAMPIAN BLVD, SUITE 400, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004213
PA
Other
Enumeration date
03/16/2006
Last updated
05/24/2021
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