Individual provider · Type 1 NPI

Molly Lauren Hannasch, P.A.- C

Medical Physician Assistant · Lincoln, NE

NPI number 1164653002 Active

Practice location

1550 S 70th St, Suite 202
Lincoln, NE 68506-1576

Fax (402) 328-2921

Mailing address

PO Box 6971
Lincoln, NE 68506-0971

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700X1457 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1164653002

Molly Lauren Hannasch, P.A.- C's National Provider Identifier is 1164653002, issued on Jul 27, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Dec 4, 2015.