Individual
LOIS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-2907
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-2907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN109880
AZ
Other
Enumeration date
08/27/2007
Last updated
10/02/2007
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