Lane T Hanson, CRNA

NPI #1952483901 in Blackfoot, Idaho

Provider Information

NPI Number
1952483901
Entity Type
Individual
Name
Lane T Hanson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Oct 19, 2006
Last Updated
Dec 21, 2007

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-4100

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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