Provider Demographics
NPI:1063536415
Name:HANSCHU, LAUREN TANGNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:TANGNEY
Last Name:HANSCHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:T
Other - Last Name:HANSCHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6660 COYLE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6360
Mailing Address - Country:US
Mailing Address - Phone:916-966-5269
Mailing Address - Fax:916-966-5344
Practice Address - Street 1:6660 COYLE AVE STE 240
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6360
Practice Address - Country:US
Practice Address - Phone:916-966-5269
Practice Address - Fax:916-966-5344
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA311561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice