Provider Demographics
NPI:1710388061
Name:HAHN, LIANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:LIANNE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 S DOUGLAS RD
Mailing Address - Street 2:STE 820
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2081
Mailing Address - Country:US
Mailing Address - Phone:480-266-6303
Mailing Address - Fax:
Practice Address - Street 1:806 S DOUGLAS RD STE 820
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2081
Practice Address - Country:US
Practice Address - Phone:305-447-4150
Practice Address - Fax:305-675-5972
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108097363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical