Provider Demographics
NPI:1326008244
Name:HANCE, M. LAWAUN (PA-C)
Entity Type:Individual
Prefix:
First Name:M.
Middle Name:LAWAUN
Last Name:HANCE
Suffix:
Gender:F
Credentials:PA-C
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5325 ELLIOTT DR
Mailing Address - Street 2:SUITE #102
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8633
Mailing Address - Country:US
Mailing Address - Phone:734-712-7202
Mailing Address - Fax:734-712-8209
Practice Address - Street 1:5325 ELLIOTT DR
Practice Address - Street 2:SUITE #102
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8633
Practice Address - Country:US
Practice Address - Phone:734-712-7202
Practice Address - Fax:734-712-8209
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601001882363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical