Most Relevant Information
Provider Data
| NPI Number: | 1003359142 |
| Provider Name: | LANTHAN HAKANSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 292408 |
Most Important Dates
| Enumeration Date: | 11/21/2016 |
| Last Updated: | 11/21/2016 |
Provider Practice Location
40680 CALIFORNIA OAKS RD
SUITE 2A
MURRIETA
CA
925625753
Practice Location Phone/Fax
| Phone: | 9518944800 |
| Fax: | 9518944804 |
Provider Mailing Location
40680 CALIFORNIA OAKS RD
SUITE 2A
MURRIETA
CA
925625753
Provider Mailing Phone/Fax
| Phone: | 9518944800 |
| Fax: | 9518944804 |