Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 011000 | OH |
NPI | 1043444649 |
---|---|
Provider Name | Laurie L Hanne |
First Address | Canton, OH 44710-1702 |
Second Address | Canton, OH 44710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 03/10/2013 |