Individual
LYNN E HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
26237 RICHOUX RD, PONCHATOULA, LA 70454-6217
(908) 489-1163
Mailing address
26237 RICHOUX RD, PONCHATOULA, LA 70454-6217
(908) 489-1163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5541
LA
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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