Hansen, Lawrence A

Hansen, Lawrence A is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hansen, Lawrence A can be contacted via phone (619) 543-5764.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9001
Phone: (619) 543-5764
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G62538 California
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X G62538 California

Profile Details

NPI number 1760407498
LBN Legal business name Hansen, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760407498 NPPES
California MEDICAID 00G625380

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