Lee C Hanson, M.d. Llc | |
2440 Camberwell Ct Des Peres MO 63131-2118 | |
(636) 207-0537 | |
Not Available |
Full Name | Lee C Hanson, M.d. Llc |
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Speciality | Internal Medicine |
Location | 2440 Camberwell Ct, Des Peres, Missouri |
Authorized Official Name and Position | Lee C Hanson (PRESIDENT) |
Authorized Official Contact | 6362070537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lee C Hanson, M.d. Llc Po Box 504839 Saint Louis MO 63150-0001 Ph: (636) 207-0537 | Lee C Hanson, M.d. Llc 2440 Camberwell Ct Des Peres MO 63131-2118 Ph: (636) 207-0537 |
NPI Number | 1831337518 |
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Provider Enumeration Date | 02/03/2009 |
Last Update Date | 02/03/2009 |
Identifier | Type | State | Issuer |
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1831337518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2001010350 (Missouri) | Primary |
Mercy East Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12360 Manchester Road, Suite 100, Des Peres, MO 63131 Phone: 314-966-8500 |