Individual provider · Type 1 NPI
Andrea Lee Hanick
Facial Plastic Surgery Physician · Columbia, MO
NPI number
1013304914
Active
Practice location
1000 W Nifong Blvd Ste 100
Columbia, MO 65203-5615
Mailing address
Washington University School Of Medicine, 660 South Euclid Avenue, Cb 8115
St. Louis, MO 63110
Other practice locations
- Facial Plastic Surgery Center, 1044 North Mason Road, MOB4, Suite L10, Creve Coeur, MO 63141 · (314) 996-3880
- 9500 Euclid Ave, Cleveland, OH 44195-0001 · (216) 444-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2020017655 (MO) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | 2020017655 (MO) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1013304914
Andrea Lee Hanick's National Provider Identifier is 1013304914, issued on Apr 20, 2015. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Columbia, MO. The record was last updated on Aug 5, 2021.