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NPI Code Detail

MEDICARE: DR. LAURA ANNE HANSON DC, MS,DICCP, NDT

MEDICARE:  DR. LAURA ANNE HANSON  DC, MS,DICCP, NDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN0400XNeurology ChiropractorCHIR005530GA

General Provider Information

NPI Number : 1265598627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA ANNE HANSON DC, MS,DICCP, NDT
Provider Business Mailing Address
First Line : 4930 LONG ISLAND TER
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2572
Country : US
Telephone Number : 678-501-5172
Fax Number :
Provider Business Practice Location Address
First Line : 4930 LONG ISLAND TER
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2572
Country : US
Telephone Number : 678-501-5172
Fax Number : 650-265-1762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/19/2019

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Directions to “ DR. LAURA ANNE HANSON DC, MS,DICCP, NDT” Practice Location

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