Lisa Ma Hansen O.D.

NPI 1083676332 - Optometrist - 152W00000X

NPI Details
NPI 1083676332
Gender Female
Enumeration Date 04/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4200 DODGE ST
DUBUQUE IA, 52003-2624, US
Phone (563) 582-3458
Fax
Business Location
2920 KRISTEN CT
DUBUQUE IA, 52001-9010, US
Phone (563) 582-3173
Fax (563) 582-3558
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 2010
Remove 1083676332 NPI Number
 

According to our database, Dr. Lisa Ma Hansen O.D. NPI is 1083676332, taxonomy code is 152W00000X and license number is 2010, license state is located at Iowa. Lisa Ma Hansen O.D. physically located at 4200 Dodge St, Dubuque IA, 52003-2624. NPI Number Lisa Ma Hansen O.D. has the Individual type.

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1083676332 NPI number is provided on an as is basis without warranty of any kind. 1083676332 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ma Hansen O.D. are for informational purposes only.