Individual
RICHARD LOREN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1500 N JEFFERSON WAY, INDIANOLA, IA 50125-1465
(515) 961-7573
(515) 961-7586
Mailing address
12817 FORD TRL S, INDIANOLA, IA 50125-8930
(515) 961-7573
(515) 961-7586
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
01595
IA
Other
Enumeration date
01/09/2006
Last updated
09/08/2014
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