Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC004233L | PA |
NPI | 1285654947 |
---|---|
Provider Name | Lawrence S Han |
First Address | Cranberry Township, PA 16066-6133 |
Second Address | Cranberry Twp, PA 16066-6133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 30/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0072971730002 | (05) | PA |
1525519 | UMWA (01) | PA |
232872943 | DEVON (01) | PA |
2778012 | AETNA (01) | PA |
480022261 | RAILROAD MEDICARE (01) | PA |
8039952 | TRICARE (01) | PA |
88057 | UNISON (01) | PA |
892844 | BLUE SHIELD (01) | |
U64160 | (02) | PA |