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Individual

DR. ERIK LESLIE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
845 WAINEE ST, SUITE 202, LAHAINA, HI 96761-2321
(808) 661-3686
(808) 661-3687
Mailing address
845 WAINEE ST, SUITE 202, LAHAINA, HI 96761-2321
(808) 661-3686
(808) 661-3687

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
111
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051490
HI
Enumeration date
03/22/2007
Last updated
07/08/2007
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