-- LANE T HANSON -- CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1952483901- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 785-4100
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: ID #RNA611