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Organization

LIFESAVER HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDY LYNN HANSON APRN (NURSE PRACTITIONER)
(773) 552-2465
Entity
Organization

Contact information

Practice address
7929 S YATES BLVD SUITE 201, CHICAGO, IL 60617
(877) 799-7412
(773) 922-0178
Mailing address
7929 S YATES BLVD SUITE 201, CHICAGO, IL 60617
(773) 552-2465
(773) 922-0178

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
291U00000X
Clinical Medical Laboratory
363L00000X
Nurse Practitioner

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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