NPI
Lizarose Y. T. Hansen
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- Certified Family Hom
- Type
- Individual
- Enumeration date
- 2023-03-15
- Last updated
- 2023-03-15
Specialties
Licenses
- License ID
- CFH-6547
Location
- Practice location
- 5201 Mesquite Dr Apt 3
- City
- Chubbuck ID
- Postal code
- 83202-5135
- Phone
- (208) 705-0591
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Chubbuck, ID. 389 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.