| Lawrence A Hansen Md Plc | |
|
7445 Allen Rd Suite 190 Allen Park MI 48101-1993 | |
| (313) 382-0151 | |
| (313) 382-2189 |
| Full Name | Lawrence A Hansen Md Plc |
|---|---|
| Speciality | General Practice |
| Location | 7445 Allen Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Lawrence A Hansen (MEMBER) |
| Authorized Official Contact | 3133820151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence A Hansen Md Plc 7445 Allen Rd Suite 190 Allen Park MI 48101-1993 Ph: (313) 382-0151 | Lawrence A Hansen Md Plc 7445 Allen Rd Suite 190 Allen Park MI 48101-1993 Ph: (313) 382-0151 |
| NPI Number | 1093930794 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093930794 | NPI | - | NPPES |
| 0825978 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301407500 (Michigan) | Primary |
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