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Individual

NELSON LO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 S CLARK ST, CARROLL, IA 51401-3047
(712) 792-0702
(712) 792-0704
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-0702
(712) 792-0704

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32707
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0183582
IA
Enumeration date
01/16/2006
Last updated
03/19/2013
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