person
Lawrence Allen Hansen, MD
General Practice Physician in Allen Park, Michigan
NPI 1699957357

Lawrence Allen Hansen is a General Practice Physician based in Allen Park, MI. Lawrence Allen Hansen practices in Allen Park, MI and has the professional credentials of MD. The NPI Number for Lawrence Allen Hansen is 1699957357 and holds a License No. 4301407500 (Michigan).

The current practice location address for Lawrence Allen Hansen is 7445 Allen Rd, Allen Park, MI and can be reached out via phone at 313-382-2184 and via fax at 313-382-2189.

Location: 7445 Allen Rd, Allen Park, MI, 48101-1993
person
Provider Profile Details
NPI Number
1699957357
Provider Name
Lawrence Allen Hansen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7445 Allen Rd, Allen Park, MI, 48101-1993
Phone Number
313-382-2184
Fax Number
313-382-2189
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0825978 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7445 Allen Rd
City
State
Zip
48101-1993
Phone Number
313-382-2184
Fax Number
313-382-2189
person
Provider Business Mailing Address Details
Address
7445 Allen Rd
City
State
Zip
48101-1993
Phone Number
313-382-2184
Fax Number
313-382-2189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301407500 (Michigan)
Definition
Definition to come...
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