Lisa Marie Hanson

NPI #1013676048 in Fontana, California

Provider Information

NPI Number
1013676048
Entity Type
Individual
Name
Lisa Marie Hanson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 17, 2021
Last Updated
Aug 19, 2022

Practice Location

Address
16465 SIERRA LAKES PKWY STE 275
ZIP Code
92336-1263
Phone
(909) 823-8000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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