| Lee C Hanson, M.d. Llc | |
|
2440 Camberwell Ct Des Peres MO 63131-2118 | |
| (636) 207-0537 | |
| Not Available |
| Full Name | Lee C Hanson, M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2440 Camberwell Ct, Des Peres, Missouri |
| Authorized Official Name and Position | Lee C Hanson (PRESIDENT) |
| Authorized Official Contact | 6362070537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee C Hanson, M.d. Llc Po Box 504839 Saint Louis MO 63150-0001 Ph: (636) 207-0537 | Lee C Hanson, M.d. Llc 2440 Camberwell Ct Des Peres MO 63131-2118 Ph: (636) 207-0537 |
| NPI Number | 1831337518 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831337518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001010350 (Missouri) | Primary |
Mercy East Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12360 Manchester Road, Suite 100, Des Peres, MO 63131 Phone: 314-966-8500 |