Larry R Nelson M.d. Inc P.s. | |
1800 Cooks Hill Rd Centralia WA 98531-9068 | |
(360) 736-0713 | |
(360) 330-8680 |
Full Name | Larry R Nelson M.d. Inc P.s. |
---|---|
Speciality | Internal Medicine |
Location | 1800 Cooks Hill Rd, Centralia, Washington |
Authorized Official Name and Position | Larry R Nelson (DOCTOR) |
Authorized Official Contact | 3607360713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Larry R Nelson M.d. Inc P.s. 1401 Marvin Rd Ne Ste 307-266 Lacey WA 98516-5709 Ph: (360) 491-5055 | Larry R Nelson M.d. Inc P.s. 1800 Cooks Hill Rd Centralia WA 98531-9068 Ph: (360) 736-0713 |
NPI Number | 1568653152 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568653152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25290013431 (Washington) | Primary |
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