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Lizarose Hansen, CERTIFIED FAMILY HOM
NPI 1104527118 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5201 Mesquite Dr Apt 3
Chubbuck, ID 83202 - Phone
- (208) 705-0591
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho