DR. Theodore Lester Hansen, OD
NPI #1013018100 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1013018100
- Entity Type
- Individual
- Name
- DR. Theodore Lester Hansen, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 115 EAST LAKE ST
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408
- Phone
- (612) 827-3857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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