Individual
MR. RYAN ROBERT NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 W LAGRANGE ST APT 16, LAKE CHARLES, LA 70605-1543
(337) 214-4305
Mailing address
422 W LAGRANGE ST APT 16, LAKE CHARLES, LA 70605-1543
(337) 214-4305
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
LA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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