Individual
DR. LARA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 626-2916
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 742, MINNEAPOLIS, MN 55455
(612) 626-2916
(612) 626-0413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47248
MN
2080P0203X
Pediatric Critical Care Medicine Physician
47248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595652
—
IA
01
—
1042757
PREFERRED ONE
MN
01
—
12-03170
MEDICA CHOICE
MN
01
—
12-09026
MEDICA PRIMARY
MN
01
—
132491
UCARE
MN
01
—
179R3NE
BCBS
MN
01
—
2280061
ARAZ
MN
05
—
34608800
—
WI
05
—
809629500
—
MN
01
—
HP48317
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
12/05/2011
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