Individual provider · Type 1 NPI
Lizarose Y. T. Hansen, CERTIFIED FAMILY HOM
Specialist · Chubbuck, ID
NPI number
1104527118
Active
Practice location
5201 Mesquite Dr Apt 3
Chubbuck, ID 83202-5135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CFH-6547 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1104527118
Lizarose Y. T. Hansen, CERTIFIED FAMILY HOM's National Provider Identifier is 1104527118, issued on Mar 15, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chubbuck, ID. The record was last updated on Mar 15, 2023.