Organization
L.BLAIR NIELSEN, DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BLAIR NIELSEN DC (OWNER)
(602) 803-5032
Entity
Organization
Contact information
Practice address
7254 E SOUTHERN AVE, 113, MESA, AZ 85209-2786
(602) 803-5032
(480) 452-0921
Mailing address
7254 E SOUTHERN AVE, 113, MESA, AZ 85209-2786
(602) 803-5032
(480) 452-0921
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4564
AZ
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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