LANCE A HANSEN

MONTPELIER, ID
NPI1861620262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-11157)
Enumeration Date2009-06-24
Last Update Date2014-12-05
Business Address
-- LANCE A HANSEN MD
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-4495
Mailing Address
-- LANCE A HANSEN MD
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-4495