Individual
DR. RAYMOND LIONEL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 W WILLIAM AVE STE 210, NORTH PLATTE, NE 69101-0026
(308) 568-3500
(308) 568-3738
Mailing address
625 W WILLIAM AVE STE 210, NORTH PLATTE, NE 69101-0026
(308) 568-3730
(308) 568-3738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025770900
—
NE
05
—
47080978500
—
NE
Enumeration date
08/22/2005
Last updated
09/05/2023
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