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1861620262
LANCE A HANSEN
MONTPELIER, ID
NPI
1861620262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-11157)
Enumeration Date
2009-06-24
Last Update Date
2014-12-05
Business Address
-- LANCE A HANSEN MD
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-4495
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Mailing Address
-- LANCE A HANSEN MD
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-4495
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