Hanson, Lesley Ann

Hanson, Lesley Ann is an individual health care provider with primary practice located at 11133 Dunn Rd , Saint Louis MO 63136-6119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Hanson, Lesley Ann can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
11133 Dunn Rd Saint Louis MO 63136-6119
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X R2C19 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-054233 Illinois

Profile Details

NPI number 1013909589
LBN Legal business name Hanson, Lesley Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 10th, 2015 - about 9 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 1013909589 NPPES
Missouri MEDICAID 1013909589

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