LORA ROSE HANSEN, PA

NPI: 1245630698 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

418 WASHINGTON ST
LAKEVIEW, MI 48850-7102 Map ↗
Phone: 989-352-6474

Mailing Address

100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Physician Assistant Primary (license: 5601007082, MI)

NPI Registration

Enumerated: 2014-09-03

Last CMS Update: 2022-05-25