LANE T HANSON

BLACKFOOT, ID
NPI1952483901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA611)
Enumeration Date2006-10-19
Last Update Date2007-12-21
Business Address
-- LANE T HANSON CRNA
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
Mailing Address
-- LANE T HANSON CRNA
PO BOX 829
BLACKFOOT, ID 83221-0829
Phone number: 208-523-4906
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