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NPI Code Detail

MEDICARE: DR. LAUREN A HANSEN MD

MEDICARE: DR. LAUREN A HANSEN MD
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
1207Y00000XOtolaryngology Physician390200000XIN
2207Y00000XOtolaryngology Physician01070902AIN

General Provider Information

NPI Number : 1598990996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN A HANSEN MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1008
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 5255 EAST STOP 11 ROAD
Second Line : SUITE 400
City : INDIANAPOLIS
State : IN
Zip : 46237-6341
Country : US
Telephone Number : 317-844-7059
Fax Number : 317-819-0044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 04/06/2026

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Directions to “ DR. LAUREN A HANSEN MD” Practice Location

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