Individual
LAURA A. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
755 GOLD HILL PL, WOODLAND PARK, CO 80863
(719) 686-9343
(719) 686-9342
Mailing address
477 PINECREST RD, WOODLAND PARK, CO 80863-8432
(719) 686-9343
(719) 686-9342
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP1542
EYEMED INSURANCE
CO
Enumeration date
01/16/2007
Last updated
07/08/2007
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