Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIZAROSE Y. T. HANSEN, CERTIFIED FAMILY HOM
Active Sole ProprietorLIZAROSE Y. T. HANSEN, CERTIFIED FAMILY HOM is a Specialist healthcare provider located in CHUBBUCK, Idaho. NPI 1104527118 is currently active in the NPPES registry. Verify at CMS.
Specialist · CHUBBUCK, ID
Registration Details
- NPI Number
- 1104527118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2023 (3.4415724295079 yrs)
- Last Updated
- Mar 15, 2023
- License
-
CFH-6547 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5201 MESQUITE DR APT 3CHUBBUCK, ID, 832025135Browse ID providers · Browse ZIP 83202
- Phone
- 2087050591
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.