Hanson, Stephanie B.

Hanson, Stephanie B. is an individual health care provider with primary practice located at 4600 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Hanson, Stephanie B. can be contacted via phone (337) 261-5151.

Contact Information

Primary practice address
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902
Phone: (337) 261-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 020858 Louisiana

Profile Details

NPI number 1518954874
LBN Legal business name Hanson, Stephanie B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 4th, 2012 - about 12 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 1518954874 NPPES
Louisiana MEDICAID 1674095
Louisiana Other 220031201

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