Organization
LEE C HANSON, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE C HANSON M.D. (PRESIDENT)
(636) 207-0537
Entity
Organization
Contact information
Practice address
2440 CAMBERWELL CT, DES PERES, MO 63131-2118
(636) 207-0537
Mailing address
PO BOX 504839, SAINT LOUIS, MO 63150-0001
(636) 207-0537
(636) 207-0221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001010350
MO
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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