# L.BLAIR NIELSEN, DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447525134
- **Authorized official:** LAWRENCE BLAIR NIELSEN DC (OWNER)
- **Authorized official phone:** (602) 803-5032

## Contact information

- **Practice address:** 7254 E SOUTHERN AVE, 113, MESA, AZ 85209-2786
- **Practice address phone:** (602) 803-5032
- **Practice address fax:** (480) 452-0921
- **Mailing address:** 7254 E SOUTHERN AVE, 113, MESA, AZ 85209-2786
- **Mailing address phone:** (602) 803-5032
- **Mailing address fax:** (480) 452-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4564 | AZ | Yes |

## Other

- **Enumeration date:** 03/14/2012
- **Last updated:** 03/14/2012