Lora Rose Hansen, PA

NPI #1245630698 in Lakeview, Michigan

Provider Information

NPI Number: 1245630698
Entity Type: Individual
Name: Lora Rose Hansen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 3, 2014
Last Updated: May 25, 2022

Practice Location

Address: 418 WASHINGTON ST
City: Lakeview
State: Michigan
ZIP Code: 48850-7102
Phone: (989) 352-6474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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