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Organization

HANACHE AND LASOTA MD ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANNE ANN HANACHE MD (ASSOCIATE)
(610) 296-5022
Entity
Organization

Contact information

Practice address
11 HORSESHOE LANE, PAOLI, PA 19301-0909
(610) 296-5022
(610) 640-4598
Mailing address
PO BOX 1003, 11 HORSESHOE LANE, PAOLI, PA 19301-0909
(610) 296-5022
(610) 640-4598

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD007091E
PA
2084P0800X
Psychiatry Physician
MD008076E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025167
PA
Enumeration date
11/20/2006
Last updated
09/11/2008
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