Individual
DR. LOREN LEE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18485 JAMBEAU CT, LAKEVILLE, MN 55044-6414
(952) 898-2137
Mailing address
18485 JAMBEAU CT, LAKEVILLE, MN 55044-6414
(952) 898-2137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2306
MN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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