Individual provider Active NPI

Lori Eldean Hansen, MD

  • Plastic Surgery Physician
  • Okla City, OK
National Provider Identifier
1447429972
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13287 Issued in OK
Practice address
13313 N. Meridian
Suite a-3
Okla City, OK 73120
Phone
(405) 753-9600
Fax
(405) 753-9601
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 13287 OK Primary

Addresses

Primary practice location

13313 N. Meridian
Suite a-3
Okla City, OK 73120

Mailing address

13313 N. Meridian
Suite a-3
Okla City, OK 73120
Phone (405) 753-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 18, 2016 through Apr 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13287OKMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Inc. Past Accepting new patients
Linda Lea, Aprn-CNP, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lori.hansen.1@17407.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1447429972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 N. MERIDIAN",
            "address_2": "SUITE A-3",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-753-9600",
            "fax_number": "405-753-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 N. MERIDIAN",
            "address_2": "SUITE A-3",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-753-9600",
            "fax_number": "405-753-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LORI",
        "middle_name": "ELDEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "13287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okla City, OK

Sources for this page

Verify at the official NPI Registry.