Individual
DR. LARRY F NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 367-2812
(337) 369-3536
Mailing address
PO BOX 10203, NEW IBERIA, LA 70562-0203
(337) 367-2812
(337) 369-3536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
015421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346691
—
LA
Enumeration date
07/17/2006
Last updated
03/28/2008
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