Hansen, Lawrence Allen

Hansen, Lawrence Allen is an individual health care provider with primary practice located at 7445 Allen Rd Suite 190, Allen Park MI 48101-1993. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hansen, Lawrence Allen can be contacted via phone (313) 382-2184.

Contact Information

Primary practice address
7445 Allen Rd Suite 190 Allen Park MI 48101-1993
Fax: (313) 382-2189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301407500 Michigan

Profile Details

NPI number 1699957357
LBN Legal business name Hansen, Lawrence Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated Feb 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699957357 NPPES
Michigan Other 0825978 BLUE CROSS BLUE SHIELD

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