| Doctor Name: | LESLIE HANSEN |
| NPI Number: | 1023085206 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0423118 |
| Business Practice Address: | 800 W Myrtle St Independence, KS - 673013240 |
| Business Phone Number: | 6203312200 |
| Business Fax Number: | 3166520340 |
| Mailing Address: | Po Box 743, WICHITA |
| State: | KS |
| Postal Code: | 672010743 |
| Phone Number: | 3166858428 |
| Fax Number: | 3166520340 |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 11/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LA0401X |
| License Number: | 0423118 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An anesthesiologist who specializes in the diagnosis and treatment of addictions. |