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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013909589 | NPPES |
Missouri | MEDICAID | 1013909589 |
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