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NPI Code Detail

MEDICARE: DR. LISA ANNE HANSEL AU.D.

MEDICARE:  DR. LISA ANNE HANSEL  AU.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
1237600000XAudiologist-Hearing Aid FitterAY1335FL
2231H00000XAudiologistAY1335FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2S9407OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1013960467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA ANNE HANSEL AU.D.
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-7770
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4202 E FOWLER AVE
Second Line : PCD 1017
City : TAMPA
State : FL
Zip : 33620
Country : US
Telephone Number : 813-974-8804
Fax Number : 813-974-0822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/20/2018

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Directions to “ DR. LISA ANNE HANSEL AU.D.” Practice Location

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