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NPI Code Detail

MEDICARE: LANCE MIKHAEL HANES CDCS

MEDICARE: LANCE MIKHAEL HANES CDCS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor4298AK

General Provider Information

NPI Number : 1427613439
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE MIKHAEL HANES CDCS
Provider Business Mailing Address
First Line : 3149 MOUNTAIN VIEW DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3106
Country : US
Telephone Number : 907-793-3203
Fax Number :
Provider Business Practice Location Address
First Line : 3149 MOUNTAIN VIEW DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3106
Country : US
Telephone Number : 907-793-3200
Fax Number : 907-793-3250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 11/10/2025

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Directions to “ LANCE MIKHAEL HANES CDCS” Practice Location

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