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NPI Code Detail

MEDICARE: LORI JEAN HANSON C.N.M.

MEDICARE: LORI JEAN HANSON C.N.M.
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
1176B00000XMidwifeB-077389IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457339236
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI JEAN HANSON C.N.M.
Provider Business Mailing Address
First Line : 1824 W 8TH ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2056
Country : US
Telephone Number : 319-266-5491
Fax Number : 319-266-5452
Provider Business Practice Location Address
First Line : 1824 W 8TH ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2056
Country : US
Telephone Number : 319-266-5491
Fax Number : 319-266-5452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 08/30/2011

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Directions to “ LORI JEAN HANSON C.N.M.” Practice Location

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