Hauge, Lester N

Hauge, Lester N is an individual health care provider with primary practice located at 2416 Lynndale Rd Suite 110, Fernandina Beach FL 32034-5252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Hauge, Lester N can be contacted via phone (941) 752-1900.

Contact Information

Primary practice address
2416 Lynndale Rd Suite 110 Fernandina Beach FL 32034-5252
Phone: (941) 752-1900
Fax: (941) 752-1905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X ME78635 Florida

Profile Details

NPI number 1679568182
LBN Legal business name Hauge, Lester N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 10th, 2008 - about 18 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 1679568182 NPPES
Florida Other 58706 BLUE CROSS BLUE SHIELD

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