Lainah Hanson

NPI #1083064166 in Jenison, Michigan

Provider Information

NPI Number: 1083064166
Entity Type: Individual
Name: Lainah Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 2439 CEDAR WEST DR
City: Jenison
State: Michigan
ZIP Code: 49428-9492
Phone: (616) 443-2162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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