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Contact Information

LUCAS HANSEN, DO
10 W BROADWAY FL 7
SALT LAKE CITY, UT84101-2060
 Phone: 917-634-5311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for LUCAS HANSEN · (Male)

NPI # 1316488562
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/20/2017
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 14148924-1204
  • VA License # 0102207175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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