| Hanache And Lasota Md Assoc | |
|
11 Horseshoe Lane Paoli PA 19301-0909 | |
| (610) 296-5022 | |
| (610) 640-4598 |
| Full Name | Hanache And Lasota Md Assoc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11 Horseshoe Lane, Paoli, Pennsylvania |
| Authorized Official Name and Position | Jeanne Ann Hanache (ASSOCIATE) |
| Authorized Official Contact | 6102965022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanache And Lasota Md Assoc Po Box 1003 11 Horseshoe Lane Paoli PA 19301-0909 Ph: (610) 296-5022 | Hanache And Lasota Md Assoc 11 Horseshoe Lane Paoli PA 19301-0909 Ph: (610) 296-5022 |
| NPI Number | 1922172253 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922172253 | NPI | - | NPPES |
| 1025167 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD007091E (Pennsylvania) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD008076E (Pennsylvania) | Secondary |
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