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NPI Code Detail

MEDICARE: PHYSICIANS VEIN CLINICS, PC

MEDICARE: PHYSICIANS VEIN CLINICS, PC
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
1202K00000XPhlebology Physician

General Provider Information

NPI Number : 1720370133
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS VEIN CLINICS, PC
Provider Business Mailing Address
First Line : 3401 S KELLEY AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-6300
Country : US
Telephone Number : 605-274-0217
Fax Number : 605-275-6398
Provider Business Practice Location Address
First Line : 3401 S KELLEY AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-6300
Country : US
Telephone Number : 605-274-0217
Fax Number : 605-275-6398
Authorized Official
Title or Position : PRESIDENT
Name : DR. LORNELL EUGENE HANSEN II
Credential : MD
Telephone Number : 605-275-6128
Provider Enumeration Date : 05/04/2011
Last Update Date : 02/24/2026

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Directions to “PHYSICIANS VEIN CLINICS, PC ” Practice Location

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