National Provider Identifier

Lisa Hanson

Lisa Hanson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 487-0031.

NPI 1780901710Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1780901710
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 30, 2010
Last Updated
August 29, 2011

Practice Location

  • 220 Fluvanna Ave
  • Jamestown, NY 14701-2051

Phone: (716) 487-0031

Mailing Address

  • 11453 Gowanda State RD
  • North Collins, NY 14111-9613

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1780901710
Entity Type
Individual
Last Name
Hanson
First Name
Lisa
Mailing Street Address
11453 Gowanda State RD
Mailing City
North Collins
Mailing State
NY
Mailing ZIP Code
14111-9613
Mailing Country
US
Mailing Phone
(716) 532-8026
Practice Street Address
220 Fluvanna Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2051
Practice Country
US
Practice Phone
(716) 487-0031
Enumeration Date
April 30, 2010
Last Updated
August 29, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)