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NPI Code Detail

MEDICARE: DR. PETER LOWELL HANSEN M.D.

MEDICARE: DR. PETER LOWELL HANSEN M.D.
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
1207Q00000XFamily Medicine Physician29595CO

General Provider Information

NPI Number : 1447272646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER LOWELL HANSEN M.D.
Provider Business Mailing Address
First Line : 115 15TH AVE
Second Line :
City : IDAHO SPRINGS
State : CO
Zip : 80452-0000
Country : US
Telephone Number : 303-649-3690
Fax Number : 303-649-3691
Provider Business Practice Location Address
First Line : 7625 W 92ND AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4567
Country : US
Telephone Number : 303-252-7790
Fax Number : 303-650-2287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 03/29/2021

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