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Lucille Mary Hansen
Home Health Registered Nurse in Mendota Heights, Minnesota
NPI 1124767751

Lucille Mary Hansen is a Home Health Registered Nurse based in Mendota Heights, MN and is specialized in Home Health. Lucille Mary Hansen practices in Mendota Heights, MN. The NPI Number for Lucille Mary Hansen is 1124767751 and holds a License No. R1234752 (Minnesota).

The current practice location address for Lucille Mary Hansen is 2160 Highway 13 Unit 111, Mendota Heights, MN and can be reached out via phone at 763-442-0883.

Location: 2160 Highway 13 Unit 111, Mendota Heights, MN, 55120-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124767751
Provider Name
Lucille Mary Hansen
Credential
Provider Entity Type
Individual
Gender
Female
Address
2160 Highway 13 Unit 111, Mendota Heights, MN, 55120-1102
Phone Number
763-442-0883
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 Highway 13 Unit 111
City
Mendota Heights
State
Minnesota
Zip
55120-1102
Phone Number
763-442-0883
Fax Number
person
Provider Business Mailing Address Details
Address
2160 Highway 13 Unit 111
City
Mendota Heights
State
Minnesota
Zip
55120-1102
Phone Number
763-442-0883
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
R1234752 (Minnesota)
Definition
Definition to come...
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